Organization
JOSE LUIS DIAZ, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS DIAZ M.D. (OWNER)
(915) 593-6700
Entity
Organization
Contact information
Practice address
10501 VISTA DEL SOL, SUITE 220, EL PASO, TX 79925-7941
(915) 593-6700
(915) 593-6703
Mailing address
PO BOX 26734, EL PASO, TX 79926-6734
(915) 593-6700
(915) 593-6703
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087KA
BCBS
TX
05
—
159892201
—
TX
Enumeration date
03/22/2007
Last updated
01/29/2010
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