Provider Demographics
NPI:1083646053
Name:EL PASO EAR NOSE & THROAT ASSOCIATES
Entity Type:Organization
Organization Name:EL PASO EAR NOSE & THROAT ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:JUAN
Authorized Official - Last Name:ARANGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-779-5866
Mailing Address - Street 1:5959 GATEWAY W
Mailing Address - Street 2:STE 120
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3315
Mailing Address - Country:US
Mailing Address - Phone:915-779-1716
Mailing Address - Fax:915-771-6558
Practice Address - Street 1:5959 GATEWAY W
Practice Address - Street 2:STE 160
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-3315
Practice Address - Country:US
Practice Address - Phone:915-779-5866
Practice Address - Fax:915-771-6558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00BF88Medicare ID - Type Unspecified