Provider Demographics
NPI:1518208248
Name:DIAZ, MEREDITH REYNOLDS (RN, MSN, ACNP-BC)
Entity Type:Individual
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First Name:MEREDITH
Middle Name:REYNOLDS
Last Name:DIAZ
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Gender:F
Credentials:RN, MSN, ACNP-BC
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Mailing Address - Street 1:19016 STONE OAK PKWY
Mailing Address - Street 2:SUITE 280
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3280
Mailing Address - Country:US
Mailing Address - Phone:210-441-6005
Mailing Address - Fax:210-545-5120
Practice Address - Street 1:19016 STONE OAK PKWY
Practice Address - Street 2:SUITE 280
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3280
Practice Address - Country:US
Practice Address - Phone:210-441-6005
Practice Address - Fax:210-545-5120
Is Sole Proprietor?:No
Enumeration Date:2013-03-05
Last Update Date:2016-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX831033363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care