Individual
DR. JESUS RAFAEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 545-8823
(915) 545-9799
Mailing address
440 RAYNOLDS ST, EL PASO, TX 79905-1613
(915) 545-6845
(915) 581-8057
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
P5355
TX
2085R0202X
Diagnostic Radiology Physician
P5355
TX
Other
Enumeration date
06/29/2007
Last updated
04/30/2019
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