# EL PASO SLEEP DISORDER CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GONZALO DIAZ,MD DBA/ EL PASO SLEEP DISORDERS CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467097683
- **Legal business name:** GONZALO DIAZ,MD DBA/ EL PASO SLEEP DISORDERS CENTER
- **Authorized official:** GONZALO DIAZ MD (OWNER)
- **Authorized official phone:** (915) 471-8218

## Contact information

- **Practice address:** 3030 JOE BATTLE BLVD, EL PASO, TX 79938-2667
- **Practice address phone:** (915) 779-7378
- **Practice address fax:** (915) 779-2822
- **Mailing address:** 1016 QUINTA ANTIGUA LN, EL PASO, TX 79912-2039
- **Mailing address phone:** (915) 779-3778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/12/2019
- **Last updated:** 01/23/2020