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SAMUEL DIAZ DE LEON
NPI 1912845272
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since March 24, 2026
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-1100 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Diaz De Leon NPPES

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

SAMUEL DIAZ DE LEON (NPI 1912845272) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1912845272
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL DIAZ DE LEON
Location Address1500 S MAIN STFort Worth, TX 76104-4941
Mailing Address1500 S Main StFort Worth, TX 76104-4941
Phone(817) 702-1100
Sole ProprietorYes
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1912845272 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.
1500 S MAIN ST, Fort Worth, TX 76104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN A LAZARINI MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (903) 353-2265
ALLYSON EVANS
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (801) 792-5267
DR. TREVOR A JOHNSON MD
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Tarrant County (817) 702-3431
DR. LELIA ERRETT WILLIAMS MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1244
MITCHELL JOHNSON
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1100
RIDDHI RANE MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-6500
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Tarrant County (817) 335-1034
SHARYL WORKMAN PA
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 927-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Diaz De Leon's NPI number?

The NPI number for Samuel Diaz De Leon is 1912845272. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Where is Samuel Diaz De Leon located?

Samuel Diaz De Leon practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-1100.

What is Samuel Diaz De Leon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Diaz De Leon was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.