Provider Demographics
NPI:1477190734
Name:DIAZ ENRIQUEZ, ALIANET (NP)
Entity type:Individual
Prefix:
First Name:ALIANET
Middle Name:
Last Name:DIAZ ENRIQUEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12531 FLEET RIVER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-2211
Mailing Address - Country:US
Mailing Address - Phone:832-766-9006
Mailing Address - Fax:
Practice Address - Street 1:15825 BELLAIRE BLVD STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-2347
Practice Address - Country:US
Practice Address - Phone:832-328-1911
Practice Address - Fax:832-328-1912
Is Sole Proprietor?:No
Enumeration Date:2019-12-05
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY779601163W00000X
TX981148163W00000X
TX1168772363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse