DR. J JESUS DIAZ (NPI# 1952319469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952319469 |
| Entity Type | Individual |
| Full Name | DR. J JESUS DIAZ |
| Credential | M.D. |
| Practice Address |
2101 Crawford St Suite 208 Houston TX 77002-8942 |
| Practice Telephone | 7137591641 |
| Practice Fax Number | 7137599004 |
| Mailing Telephone | 7137591641 |
| Mailing Fax Number | 7137599004 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | E0882 | TX | Other Service Providers |
| N | 208000000X | Pediatrics | E0882 | TX | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | E0882 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | EIN | 742042555 | 01 |
| TX | 121529501 | 05 | |
| TX | 121529503 | 05 |
| Street Address |
2101 CRAWFORD ST SUITE 208 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77002-8942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872365 | Johnnie L. Rose | Psychiatry & Neurology | 2101 Crawford St, Ste 205, Houston, TX 77002-8941 | 2005-06-27 |
| 1619445707 | Anji Montessa Fesler | Social Worker | 2101 Crawford St, Houston, TX 77002-8942 | 2018-11-06 |
| 1871074443 | Maryssa K Square | Counselor | 2101 Crawford St, Houston, TX 77002-8942 | 2018-08-22 |
| 1396238986 | Tandra Renette Haynes | Counselor | 2101 Crawford St, Houston, TX 77002-8942 | 2018-06-08 |
| 1265930622 | Courtney Espinoza | Counselor | 2101 Crawford St, Houston, TX 77002-8942 | 2018-01-31 |
| 1134666282 | Workers Occupational Rehab Center, Pa | General Practice | 2101 Crawford St, Suite 207, Houston, TX 77002-8942 | 2017-01-27 |
| 1578008280 | Deslaune Burns | Counselor | 2101 Crawford St, Suite 208, Houston, TX 77002-8942 | 2017-01-04 |
| 1043691017 | Midtown Family Clinic, Inc. | General Practice | 2101 Crawford St, Suite 208, Houston, TX 77002-8942 | 2015-06-15 |
| 1285036855 | Care Family Practice, Inc. | Otolaryngology | 2101 Crawford St, Suite 309, Houston, TX 77002-8942 | 2014-09-25 |
| 1922410422 | J. Jesus Diaz M.d., P.a | Clinic/Center | 2101 Crawford St, Suite 208, Houston, TX 77002-8942 | 2014-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1578182226 | Quinn Adams Rhodes | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy, Susan K. Strake Building, 1st Floor, Sks1106a, Houston, TX 77002 | 2020-04-13 |
| 1508420563 | Ines Tamzali | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy. Susan K. Strake Building, 1st F, Sks1106a, Houston, TX 77002 | 2019-04-25 |
| 1487163093 | Mary Janella Blakey | Home Health | 500 Crawford St. Apt 344, Houston, TX 77002 | 2017-09-26 |
| 1306365374 | Vanability, LLC | Non-emergency Medical Transport (VAN) | 700 Louisiana St. Suite 3950, Houston, TX 77002 | 2017-09-11 |
| 1720518509 | Cara Adele Hankins | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Parkway Sks1106a, Houston, TX 77002 | 2017-06-14 |
| 1518414044 | Wellness Pain & Associates Inc | Clinic/Center | 2000 Crawford Ste1600, Houston, TX 77002 | 2016-09-01 |
| 1699140327 | Dcoa Physician Associates, Pa | Internal Medicine | 1819 Labranch, Houston, TX 77002 | 2015-12-07 |
| 1659740165 | Mark Dickason Reimer | Family Medicine | 333 Clay Street, Three Allen Center, 5th Floor, Aramco Services Company Medical Clinic, Attn Dr. Reimer, Houston, TX 77002 | 2015-09-15 |
| 1588043053 | Monique Lacole Lee | Chiropractor | 1315 St Joseph Pkwy Ste 1010, Houston, TX 77002 | 2015-05-29 |
| Find all providers in zip 77002 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1386200178 | Thaddieus A Reed | Specialist | 3605 Wilmington St, Houston, TX 77051-3248 | 2019-05-16 |
| 1437617545 | Wellness Institute of Neurodevelopment | Specialist | 5757 Woodway Dr Ste 190, Houston, TX 77057-1526 | 2019-03-07 |
| 1275098568 | Idoc Virtual Telehealth Texas | Specialist | 2311 W Main St, Houston, TX 77098-3218 | 2019-01-31 |
| 1326531708 | Houston Neurology Clinical & Diagnostic Consultants Company | Specialist | 1313 La Concha Ln Ste 130, Houston, TX 77054-1809 | 2018-06-11 |
| 1154840908 | Webster Diagnostics, Pllc | Specialist | 18333 Egret Bay Blvd Ste 200, Houston, TX 77058-3200 | 2017-09-13 |
| 1093242166 | Cns Medical Group | Specialist | 6238 Rietta St, Houston, TX 77016-4338 | 2017-05-18 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.