WEST TEXAS MAXILLOFACIAL SURGERY PA (NPI# 1700178555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700178555 |
| Entity Type | Organization |
| Organization Name | WEST TEXAS MAXILLOFACIAL SURGERY PA |
| Practice Address |
10175 Gateway Blvd W Suite304 El Paso TX 79925-7618 |
| Mailing Address |
10175 Gateway Blvd W Suite 304 El Paso TX 79925-7618 |
| Practice Telephone | 9155046880 |
| Practice Fax Number | 9155998579 |
| Mailing Telephone | 9155046880 |
| Mailing Fax Number | 9155998579 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2013-02-19 |
| Authorized Official Name | VERNON P BURKE (DIRECTOR) |
| Authorized Official Telephone | 2106309909 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 25153 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
10175 GATEWAY BLVD W SUITE304 |
| City | EL PASO |
| State | TX |
| Zip Code | 79925-7618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994502 | Jose J. Monsivais | Specialist | 10175 Gateway Blvd W, Suite 230, El Paso, TX 79925-7618 | 2005-07-07 |
| 1902435951 | Marc Pickard | Student in an Organized Health Care Education/Training Program | 10175 Gateway Blvd W, El Paso, TX 79925-7618 | 2020-04-02 |
| 1295267508 | Louis E. Zuniga, Pt PC | Physical Therapist | 10175 Gateway Blvd W, El Paso, TX 79925-7618 | 2017-03-28 |
| 1467814061 | Michael David Lara, Md, Pa | Surgery | 10175 Gateway Blvd W, 220, El Paso, TX 79925-7618 | 2016-03-23 |
| 1164825089 | Blood Optimization Services of El Paso | Clinical Medical Laboratory | 10175 Gateway Blvd W, Ste 116, El Paso, TX 79925-7618 | 2014-10-06 |
| 1194137497 | Alonzo Molinar | Clinic/Center | 10175 Gateway Blvd W, Suite 210, El Paso, TX 79925-7618 | 2014-05-21 |
| 1992147565 | Southwest Plastic Surgery Pa | Surgery | 10175 Gateway Blvd W, 210, El Paso, TX 79925-7618 | 2013-07-24 |
| 1467743542 | Humberto Palladino Md, Pa | Plastic Surgery | 10175 Gateway Blvd W, 210, El Paso, TX 79925-7618 | 2011-04-25 |
| 1063735835 | Solaris Laboratory Services LLC | Clinical Medical Laboratory | 10175 Gateway Blvd W, Suite 116, El Paso, TX 79925-7618 | 2010-03-09 |
| 1508191636 | Francisco J. Agullo, M.d. P.a. | Plastic Surgery | 10175 Gateway Blvd W, Suite210, El Paso, TX 79925-7618 | 2009-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434820 | Francisco Andres Escobar | Dentist | 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 | 2020-07-08 |
| 1982259495 | Cruz Elvia Corral | Assisted Living Facility | 10165 Bermuda, El Paso, TX 79925 | 2019-08-02 |
| 1740846179 | Sister Sisters In Home Care Services LLC | In Home Supportive Care | 9327 Sims Drive, Suite F, El Paso, TX 79925 | 2019-05-10 |
| 1245790450 | Mario Salinas | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, Texas 79925, El Paso, TX 79925 | 2019-03-22 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1083130215 | Javier Calzadilla Jr. | Behavior Technician | 9900 Montana Ave Ste C6, El Paso, TX 79925 | 2017-08-18 |
| 1942721980 | Isela Cristina Sanchez | Specialist/Technologist | 3021 Killarney St., El Paso, TX 79925 | 2017-06-29 |
| 1831629617 | Rebekah E Alvarez | Behavior Technician | 2200 North Yarabrough Suite B, Apt 103, El Paso, TX 79925 | 2017-06-14 |
| 1841646817 | Imelda Barbosa | Counselor | 9455 Viscount 170, El Paso, TX 79925 | 2016-05-10 |
| 1528426491 | Salnor, Inc. | Clinic/Center | 8517 Lockheed Dr., El Paso, TX 79925 | 2016-02-05 |
| Find all providers in zip 79925 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| 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. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225398456 | Associates In Oral & Implant Surgery | Oral & Maxillofacial Surgery | 7211 North Mesa Suite 1 South, El Paso, TX 79912 | 2012-05-22 |
| 1437419652 | Associates In Oral & Implant Surgery | Oral & Maxillofacial Surgery | 7211 North Mesa Suite 1-south, El Paso, TX 79912 | 2012-05-22 |
| 1407972938 | Ronald Clay De Lyrh Butler | Oral & Maxillofacial Surgery | 7211 N Mesa, Suite 1 South, El Paso, TX 79912 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101053 | College Station Oral Surgery, Pllc | Oral & Maxillofacial Surgery | 1645 Greens Prairie Rd W Ste 202, College Station, TX 77845-8414 | 2019-08-28 |
| 1922579473 | Christopher M. King, Dds, Md, Pllc | Oral & Maxillofacial Surgery | 5209 Heritage Ave Ste 220, Colleyville, TX 76034-5997 | 2018-12-10 |
| 1063908671 | Steven C. Albright Dds, Pa | Oral & Maxillofacial Surgery | 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 | 2018-07-06 |
| 1508375965 | Dioms, Pllc | Oral & Maxillofacial Surgery | 9676 Bartlett Cir Ste 950, Fort Worth, TX 76108-4469 | 2017-09-28 |
| 1730625740 | Facial Head & Neck Surgery Pllc | Oral & Maxillofacial Surgery | 2317 Coit Rd Ste A, Plano, TX 75075-3774 | 2017-01-13 |
| 1821405416 | Caprock Oral Surgery, Pllc | Oral & Maxillofacial Surgery | 5730 66th St., Lubbock, TX 79424-1224 | 2014-07-16 |
| 1487997813 | Amir All-atabakhsh | Oral & Maxillofacial Surgery | 2402 Rice Blvd Ste C, Houston, TX 77005-3203 | 2013-04-04 |
| 1689954562 | Roderick Youngdo Kim | Oral & Maxillofacial Surgery | 1500 S Main St Dept Of, Fort Worth, TX 76104-4917 | 2011-08-23 |
| 1891923843 | Blake Dyson Maida | Oral & Maxillofacial Surgery | 7500 San Felipe St Ste 300, Houston, TX 77063-1716 | 2009-06-29 |
| 1669609285 | Jia-woei Wang | Oral & Maxillofacial Surgery | 5525 S. Staples, A-4, Corpus Christi, TX 78411 | 2009-06-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WEST TEXAS MAXILLOFACIAL SURGERY PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.