Alisha Diane Diaz, is a
Allergy & Immunology based in Southlake, Texas. Alisha Diane Diaz is licensed to practice in Texas (license number PA13170) and her current practice location is
900 E Southlake Blvd Ste 300, Southlake, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 421-0770.
NPI number for Alisha Diane Diaz is 1609411222 and her current mailing address is 7777 Royal Ln, Dallas, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609411222.
Provider's Profile
| Full Name | Alisha Diane Diaz |
|---|
| Gender | Female |
|---|
| Speciality | Allergy & Immunology |
|---|
| Location | 900 E Southlake Blvd Ste 300, Southlake, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609411222
- Provider Enumeration Date: 11/07/2019
- Last Update Date: 04/11/2022
Medical Identifiers
Medical identifiers for Alisha Diane Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609411222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA13170 (Texas) | Secondary |
| 207K00000X | Allergy & Immunology | PA13170 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alisha Diane Diaz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alisha Diane Diaz,
7777 Royal Ln,
Dallas, TX 75230-3711
Ph: (210) 867-3253 | Alisha Diane Diaz,
900 E Southlake Blvd Ste 300,
Southlake, TX 76092-6376
Ph: (817) 421-0770 |
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