JACQUELINE DIAZ
NPI 1194410019
Student in an Organized Health Care Education/Training Program in Dallas, TX

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 06, 2023

3302 GASTON AVE, DALLAS, TX 75246(214) 828-8215 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jacqueline Diaz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE DIAZ (NPI 1194410019) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1194410019

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJACQUELINE DIAZ

Location Address3302 GASTON AVEDallas, TX 75246-2013

Mailing Address3302 Gaston AveDallas, TX 75246-2013 · (214) 828-8215

Phone(214) 828-8215

Sole ProprietorNo

Enumeration DateApril 6, 2023

NPPES CertifiedApril 6, 2023

✔ NPI 1194410019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3302 GASTON AVE, Dallas, TX 75246

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