Provider Demographics
NPI:1346016565
Name:ADVANCED SURGERY CENTER OF EL PASO LLC
Entity Type:Organization
Organization Name:ADVANCED SURGERY CENTER OF EL PASO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-830-0778
Mailing Address - Street 1:1125 TEXAS AVE UNIT 502
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79901-1509
Mailing Address - Country:US
Mailing Address - Phone:919-830-0778
Mailing Address - Fax:
Practice Address - Street 1:1125 TEXAS AVE UNIT 502
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-1509
Practice Address - Country:US
Practice Address - Phone:919-830-0778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical