Organization
BLUEBONNET CHILD & ADOLESCENT PSYCHIATRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOAMI M DIAZ MD (PRESIDENT)
(915) 532-9200
Entity
Organization
Contact information
Practice address
5505 N MESA ST, SUITE 1, EL PASO, TX 79912-5422
(915) 532-9200
Mailing address
5505 N MESA ST, SUITE 1, EL PASO, TX 79912-5422
(915) 532-9200
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/09/2011
Last updated
04/22/2015
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