Organization
GONZALO A DIAZ
Active
Parent organization
GONZALO A DIAZ
Other names
8 Hour Sleep Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GONZALO A DIAZ
Authorized official
LILI HERNANDEZ (CLINIC ADMINISTRATOR)
(915) 204-6989
Entity
Organization
Contact information
Practice address
2000 LOMALAND DR, EL PASO, TX 79935-2213
(915) 875-1801
(915) 875-1516
Mailing address
1016 QUINTA ANTIGUA LN, EL PASO, TX 79912-2039
(915) 779-7378
(915) 779-2822
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081351102
—
TX
Enumeration date
01/05/2021
Last updated
01/05/2021
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