| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | The Diaz Women's Clinic | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1124206784 | [sources] | |||
| Sector | Physician Group | [sources] | |||
| Status | not available | [sources] | |||
| Address | 1720-A Medical Park Drive Suite 130-A Biloxi, MS 39532 | [sources] | |||
| Last change | Last processed | First seen | |||
Service providers who have been terminated for cause from Mississippi's Medicaid program.
United States of America · Mississippi Division of Medicaid
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