ROGER ALLEN DIAZ APRN NPI 1811485154

NPI Information

NPI: 1811485154
Provider Name: ROGER ALLEN DIAZ, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
9440 VISCOUNT BLVD STE 100
EL PASO, TX
ZIP 79925
Phone: (915) 249-6639
Get Directions

Roger Allen Diaz, APRN is a psychiatric/mental health nurse practitioner in El Paso, TX. Roger Allen Diaz, APRN NPI is 1811485154. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9440 VISCOUNT BLVD STE 100
EL PASO, TX
ZIP 79925-054
Phone: (915) 249-6639
Fax: (915) 249-6695

The NPI 1811485154 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/23/2018 and was last updated on 10/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		852557	TEXAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP143739	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	852557	OTHER	TEXAS	TEXAS BOARD OF NURSING LICENSE
2	AP143739	OTHER	TEXAS	TEXAS BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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