Diaz, Gonzalo A
Diaz, Gonzalo A is an individual health care provider with primary practice located at 4305 N Mesa St Ste A, El Paso TX 79902-1123. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Diaz, Gonzalo A can be contacted via phone (915) 532-2477.Contact Information
Primary practice address
4305 N Mesa St Ste A
El Paso TX 79902-1123
Phone: (915) 532-2477
Fax: (915) 532-2470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | G4109 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G4109 | Texas |
Profile Details
| NPI number | 1134129240 |
|---|---|
| LBN Legal business name | Diaz, Gonzalo A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Oct 18th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134129240 | NPPES |
| Texas | MEDICAID | 138134508 |
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