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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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