Provider Demographics
NPI:1164262093
Name:CRUZ OSORIO, DIEGO ADOLFO (MD)
Entity type:Individual
Prefix:MR
First Name:DIEGO
Middle Name:ADOLFO
Last Name:CRUZ OSORIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 4TH STREET TTUHSC
Mailing Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE , STOP 6211
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79430
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3601 4TH STREET TTUHSC
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE STOP 6211
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430
Practice Address - Country:US
Practice Address - Phone:806-743-6840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program