Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alisha Diane Diaz

Individual provider Physician Assistant · NPI 1609411222

Alisha Diane Diaz is a Physician Assistant in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2019.

Licensed in
TX
In the registry since
2019
Specialties on file
2

Practice location Address checks out

900 E Southlake Blvd Ste 300
Southlake, TX 76092-6376
Phone: (817) 421-0770
Fax: (817) 421-4759
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence PA13170 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA13170 (TX)

Record details

NPI number1609411222
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 7, 2019
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022
Mailing address7777 Royal Ln, Dallas, TX 75230-3711

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