Organization
GONZALO A DIAZ
Active
Parent organization
GONZALO A DIAZ
Other names
EL Paso Sleep Center INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GONZALO A DIAZ
Authorized official
GONZALO A DIAZ MD (PHYSICIAN/ OWNER)
(915) 779-7378
Entity
Organization
Contact information
Practice address
3030 JOE BATTLE BLVD, EL PASO, TX 79938-2667
(915) 242-1634
(915) 242-1651
Mailing address
1016 QUINTA ANTIGUA LN, EL PASO, TX 79912-2039
(915) 779-7378
(915) 779-2822
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081351102
—
TX
Enumeration date
01/17/2020
Last updated
01/17/2020
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