Individual
DIANE SUSAN DEMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 W HAGUE RD, STE 570, EL PASO, TX 79902-5814
(915) 544-7767
(915) 532-6938
Mailing address
125 W HAGUE RD, STE 570, EL PASO, TX 79902-5814
(915) 544-7767
(915) 532-6938
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
L2220
TX
Other
Enumeration date
01/25/2006
Last updated
08/23/2007
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