Individual
DR. MARCO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6283 FRANKLIN POINT DR, EL PASO, TX 79912-8180
(915) 929-1069
Mailing address
6283 FRANKLIN POINT DR, EL PASO, TX 79912-8180
(915) 929-1069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N0730
TX
207Q00000X
Family Medicine Physician
N0730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205287005
—
TX
Enumeration date
10/22/2007
Last updated
01/23/2017
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