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Contact Information

GONZALO A DIAZ
2000 LOMALAND DR
EL PASO, TX79935-2213
 Phone: 915-875-1801
 Fax: 915-875-1516
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GONZALO A DIAZ

NPI # 1033707179
LBN Legal business name GONZALO A DIAZ
Authorized official LILI HERNANDEZ - (CLINIC ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/05/2021
Last updated 01/05/2021 - About 5 years ago
Identifiers
TX Medicaid 081351102
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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