Provider Demographics
NPI:1851532451
Name:LILIANA DIAZ MD PA
Entity Type:Organization
Organization Name:LILIANA DIAZ MD PA
Other - Org Name:PULMONARY MEDICINE AND WELLNESS CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-273-5817
Mailing Address - Street 1:1429 HIGHWAY 6
Mailing Address - Street 2:SUITE 303
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5134
Mailing Address - Country:US
Mailing Address - Phone:713-273-5817
Mailing Address - Fax:713-758-0323
Practice Address - Street 1:1429 HIGHWAY 6
Practice Address - Street 2:SUITE 303
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5134
Practice Address - Country:US
Practice Address - Phone:713-273-5817
Practice Address - Fax:713-758-0323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8117174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG79080Medicare UPIN