Individual
ABRAHAM DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1891 N LEE TREVINO DR STE 700, EL PASO, TX 79936-4129
(915) 593-3787
Mailing address
6151 DEW DR STE 300, EL PASO, TX 79912-3912
(915) 587-4081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1255236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160454801
—
TX
Enumeration date
02/13/2015
Last updated
02/13/2015
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