MEDICARE: NOAMI DIAZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	N8906	TX

General Provider Information

NPI Number	:	1710026737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOAMI DIAZ MD

Provider Business Mailing Address
First Line	:	5505 N MESA ST
Second Line	:	SUITE 1
City	:	EL PASO
State	:	TX
Zip	:	79912-5422
Country	:	US
Telephone Number	:	915-532-9200
Fax Number	:	915-532-9202

Provider Business Practice Location Address
First Line	:	5505 N MESA ST
Second Line	:	SUITE 1
City	:	EL PASO
State	:	TX
Zip	:	79912-5422
Country	:	US
Telephone Number	:	915-532-9200
Fax Number	:	915-532-9202

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	05/29/2014

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