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WEST TEXAS MAXILLOFACIAL SURGERY PA NPI 1700178555


NPI Information

NPI: 1700178555
Provider Name: WEST TEXAS MAXILLOFACIAL SURGERY PA
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
10175 GATEWAY BLVD W
SUITE304
EL PASO, TX
ZIP 79925
Phone: (915) 504-6880
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WEST TEXAS MAXILLOFACIAL SURGERY PA is an oral maxillofacial surgery in El Paso, TX. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. WEST TEXAS MAXILLOFACIAL SURGERY PA NPI is 1700178555. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10175 GATEWAY BLVD W
SUITE304
EL PASO, TX
ZIP 79925-618
Phone: (915) 504-6880
Fax: (915) 599-8579

The provider's authorized official is Vernon P Burke .
The authorized official title is Director and has the following contact phone number (210) 630-9909.

The enumeration date for this NPI number is 5/12/2011 and was last updated on 2/19/2013.


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
1204E00000XOral & Maxillofacial Surgery25153TEXASYes

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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