Provider Information for 1053480228
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Mrs. PEGGY ANN DIAZ LCSW
Sex: Female
NPI: 1053480228
Last Updated: 2023-02-09
Certification Date: 2023-02-06
Certification Date: 2023-02-06
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1053480228 | ||||||||||||
| Enumeration Date | 2006-11-06 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 151 STAGECOACH TRL STE 220 SAN MARCOS, TX 78666-3863 United States Phone: 448-248-7758 | Fax:281-648-2200 | ||||||||||||
| Primary Practice Address | 151 STAGECOACH TRL STE 220 SAN MARCOS, TX 78666-3863 United States Phone: 448-248-7758 | Fax:281-648-2200 | ||||||||||||
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