Basic Information
Provider Information
NPI: 1568951218
EntityType: 2
ReplacementNPI:  
OrganizationName: RAMI DIEB PLLC
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Mailing Information
Address1: 4849 N MESA ST STE 201
Address2:  
City: EL PASO
State: TX
PostalCode: 799125919
CountryCode: US
TelephoneNumber: 9153516600
FaxNumber: 9153516601
Practice Location
Address1: 1900 DENVER AVE
Address2:  
City: EL PASO
State: TX
PostalCode: 799023008
CountryCode: US
TelephoneNumber: 9155444000
FaxNumber: 9155448750
Other Information
ProviderEnumerationDate: 05/08/2018
LastUpdateDate: 06/16/2021
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AuthorizedOfficialLastName: DIEB
AuthorizedOfficialFirstName: RAMI
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AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 3184706500
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: MD
NPICertificationDate: 06/16/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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