Organization
DIAMOND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL DE AVILA (ADMINISTRATOR)
(915) 778-1796
Entity
Organization
Contact information
Practice address
5721 E YANDELL DR, EL PASO, TX 79925-3350
(915) 778-1796
(915) 778-8150
Mailing address
5721 E YANDELL DR, EL PASO, TX 79925-3350
(915) 778-1796
(915) 778-8150
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072JW
BCBS OF TEXAS
—
Enumeration date
05/10/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us