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Organization

EL PASO SLEEP DISORDER CENTER

Active
Parent organization
GONZALO DIAZ,MD DBA/ EL PASO SLEEP DISORDERS CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
GONZALO DIAZ,MD DBA/ EL PASO SLEEP DISORDERS CENTER
Authorized official
GONZALO DIAZ MD (OWNER)
(915) 471-8218
Entity
Organization

Contact information

Practice address
3030 JOE BATTLE BLVD, EL PASO, TX 79938-2667
(915) 779-7378
(915) 779-2822
Mailing address
1016 QUINTA ANTIGUA LN, EL PASO, TX 79912-2039
(915) 779-3778

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
081351102
TX
Enumeration date
11/12/2019
Last updated
01/23/2020
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