Individual
MRS. DIANA CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBCS
Contact information
Practice address
4920 VISTA GRANDE CIR, EL PASO, TX 79922-1737
(915) 259-5286
Mailing address
PO BOX 59, EL PASO, TX 79940-0059
(915) 259-5288
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
174400000X
Specialist
Primary
—
—
246YC3302X
Physician Office Based Coding Specialist
—
—
Other
Enumeration date
07/11/2018
Last updated
08/20/2018
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