# EL PASO SLEEP CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669011714
- **Authorized official:** GONZALO DIAZ MD (PHYSICIAN / OWNER)
- **Authorized official phone:** (915) 779-7378

## Contact information

- **Practice address:** 4305 N MESA ST STE B, EL PASO, TX 79902-1124
- **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) 779-7378
- **Mailing address fax:** (915) 779-2822

## 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:** 01/06/2020
- **Last updated:** 01/06/2020
