Organization
EL PASO SLEEP CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GONZALO DIAZ MD (PHYSICIAN / OWNER)
(915) 779-7378
Entity
Organization
Contact information
Practice address
4305 N MESA ST STE B, EL PASO, TX 79902-1124
(915) 779-7378
(915) 779-2822
Mailing address
1016 QUINTA ANTIGUA LN, EL PASO, TX 79912-2039
(915) 779-7378
(915) 779-2822
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
01/06/2020
Last updated
01/06/2020
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