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CGN EPENT NPI 1053919308


NPI Information

NPI: 1053919308
Provider Name: CGN EPENT
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
5959 GATEWAY BLVD W STE 160
EL PASO, TX
ZIP 79925
Phone: (915) 779-5866
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CGN EPENT is an otolaryngology in El Paso, TX. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. CGN EPENT NPI is 1053919308. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5959 GATEWAY BLVD W STE 160
EL PASO, TX
ZIP 79925-315
Phone: (915) 779-5866

The provider's authorized official is Elizabeth Gonzales .
The authorized official title is BILLING/CREDENTIALING SUPERVISORSupervisor and has the following contact phone number (915) 779-5866.

The enumeration date for this NPI number is 10/9/2020 and was last updated on 12/1/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1326176001MEDICAIDTEXAS
2118690001MEDICAIDTEXAS
3153157602MEDICAIDTEXAS

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: 11/14/2023

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