Marco Diaz (NPI# 1104015577, PAC ID# 7517019607) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104015577 |
| PAC ID by PECOS | 7517019607 |
| Professional Enrollment ID | I20090721000592 |
| Full Name | Marco Diaz |
| Organization Legal Name | PEARSALL EMERGENCY MEDICINE ASSOCIATES, PA |
| Address |
13600 Horizon Blvd Suite 100 Horizon City TX 79928-5810 |
| Phone Number | 9154077878 |
| Gender | M |
| Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1557623147 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450107 | LAS PALMAS MEDICAL CENTER |
| 670124 | THE HOSPITALS OF PROVIDENCE HORIZON CITY CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 9155959000 | EMERGENCY SERVICES OF TEXAS PA |
| 1801 N Oregon St, El Paso, TX 79902-3524 | 9155211200 | EMERGENCY SERVICES OF TEXAS PA |
| 6000 Northern Pass Dr, Building A, El Paso, TX 79911-7205 | 9153287069 | FMUC PLLC |
| 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 | 9154077878 | PEARSALL EMERGENCY MEDICINE ASSOCIATES, PA |
| Organization Legal Name | PEARSALL EMERGENCY MEDICINE ASSOCIATES, PA |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Antonio Baca | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Donald D Gandy | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Gabriel A Valencia | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Kenneth G Ro | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Johannes Neuendorf | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Lincoln George Coffie | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Jose Frank Lim | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Jeffrey Kent Holen | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Robert C Root | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Daniel Arredondo | Nurse Practitioner | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Street Address |
13600 HORIZON BLVD SUITE 100 |
| City | HORIZON CITY |
| State | TX |
| Zip | 79928-5810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Antonio Baca | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Donald D Gandy | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Gabriel A Valencia | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Kenneth G Ro | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Johannes Neuendorf | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Lincoln George Coffie | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Jose Frank Lim | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Jeffrey Kent Holen | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Robert C Root | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Daniel Arredondo | Nurse Practitioner | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette C Griego | Nurse Practitioner | S and G Medical Services Pllc | 12350 Montwood Dr, Suite 300, El Paso, TX 79928-5695 |
| Raul Zayas | Family Medicine | S and G Medical Services Pllc | 12350 Montwood Dr, Suite 300, El Paso, TX 79928-5695 |
| Alma Gabriela Kelly | Nurse Practitioner | Epmed, Pa | 12200 Paseo Nuevo Dr, El Paso, TX 79928-5796 |
| Anette Araiza-mitro | Nurse Practitioner | Epmed, Pa | 12200 Paseo Nuevo Dr, El Paso, TX 79928-5796 |
| Patrick M Barrett | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Jerry A Allison | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Peter Andrew Brock | Nurse Practitioner | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| April C Yanez | Nurse Practitioner | Bhs Physicians Network Inc | 13800 Eastlake Dr, Suite 400, Horizon City, TX 79928-7389 |
| Celia A Mendoza | Nurse Practitioner | El Paso Primary Care Pllc | 13650 Eastlake Dr, Building A Suite 104, Horizon City, TX 79928-7473 |
| Cecilia I Delmoral | Internal Medicine | El Paso Primary Care Pllc | 13650 Eastlake Dr, Building A Suite 104, Horizon City, TX 79928-7473 |
| Find all physicians in zip 79928 | |||
| City | HORIZON CITY |
| Zip Code | 79928 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HORIZON CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Marco Diaz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.