MOSES DIAZ DELATORRE OPTICIAN NPI 1609192707

NPI Information

NPI: 1609192707
Provider Name: MOSES DIAZ DELATORRE, OPTICIAN
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
2424 W ILLINOIS AVE
DALLAS, TX
ZIP 75216
Phone: (469) 531-7114
Get Directions

Moses Diaz Delatorre, OPTICIAN is an optician technician technologist in Dallas, TX. Moses Diaz Delatorre, OPTICIAN NPI is 1609192707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2424 W ILLINOIS AVE
DALLAS, TX
ZIP 75216-106
Phone: (469) 531-7114

The enumeration date for this NPI number is 4/14/2010 and was last updated on 4/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	$$$$$$$$$	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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