Fernandez-Diaz, Maria-Jose

Fernandez-Diaz, Maria-Jose is an sole proprietor health care provider with primary practice located at 1935 Medical District Dr , Dallas TX 75235-7701. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Fernandez-Diaz, Maria-Jose can be contacted via phone (844) 856-6926.

Contact Information

Primary practice address
1935 Medical District Dr Dallas TX 75235-7701
Phone: (844) 856-6926
Fax: (214) 867-5383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 201849 Texas

Profile Details

NPI number 1275687204
LBN Legal business name Fernandez-Diaz, Maria-Jose
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Mar 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275687204 NPPES
Kansas MEDICAID 200440760A
Kansas Other 11759290
Kansas Other 853958

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