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Individual

THELMA E DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1626 MEDICAL CENTER DR STE 400, 4TH FLOOR, EL PASO, TX 79902-5000
(915) 546-9200
(915) 546-9800
Mailing address
1626 MEDICAL CENTER DR STE 400, 4TH FLOOR, EL PASO, TX 79902-5000
(915) 546-9200
(915) 546-9800

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
AP107026
TX
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
AP107026
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
584935
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
189774601
TX
05
189774602
TX
05
189774603
TX
05
189774604
TX
Enumeration date
04/12/2007
Last updated
04/22/2024
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