Individual
JOSE LUIS DIAZ PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8230 GATEWAY BLVD E, EL PASO, TX 79907-1511
(915) 593-6700
Mailing address
8230 GATEWAY BLVD E, EL PASO, TX 79907-1511
(915) 593-6700
(915) 593-6703
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L6356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159892201
—
TX
05
—
159894801
—
TX
Enumeration date
04/06/2006
Last updated
03/12/2025
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