Provider Demographics
NPI:1033229265
Name:ENT ASSOCIATES OF PASADENA, PA
Entity Type:Organization
Organization Name:ENT ASSOCIATES OF PASADENA, PA
Other - Org Name:ENT ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAT
Authorized Official - Middle Name:CAMPAGNA
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-941-3500
Mailing Address - Street 1:3325 PLAINVIEW ST # C-8
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1989
Mailing Address - Country:US
Mailing Address - Phone:713-941-3500
Mailing Address - Fax:713-941-3371
Practice Address - Street 1:3325 PLAINVIEW ST # C-8
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1989
Practice Address - Country:US
Practice Address - Phone:713-941-3500
Practice Address - Fax:713-941-3371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00K70VMedicare ID - Type Unspecified
TXG24994Medicare UPIN