Gonzalo A Diaz

LBN: Gonzalo A Diaz
Gonzalo A Diaz is an health care organization with primary practice located at 7430 N Mesa St , El Paso TX 79912-3504. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as the primary health care specialty. Gonzalo A Diaz can be contacted via phone (915) 875-1801, or through Hernandez, Lili via phone (915) 204-6989.

Contact Information

Primary practice address
7430 N Mesa St El Paso TX 79912-3504
Phone: (915) 875-1801
Fax: (915) 875-1516
Website:
Map and Directions
Authorized official contact:
Name: Hernandez, Lili
Phone: (915) 204-6989

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X

Profile Details

NPI number 1518555648
LBN Legal business name Gonzalo A Diaz
DBA Doing business as
Authorized official Hernandez, Lili
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 5th, 2021
Last updated Jan 5th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518555648 NPPES
Texas MEDICAID 081351102

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