Provider Demographics
NPI:1699840272
Name:EAR ASSOCIATES PC
Entity Type:Organization
Organization Name:EAR ASSOCIATES PC
Other - Org Name:PRIVATE CORPORATION
Other - Org Type:Other Name
Authorized Official - Title/Position:SURGEON PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:L
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-224-7610
Mailing Address - Street 1:415 CEDAR SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQ
Mailing Address - State:NM
Mailing Address - Zip Code:87106
Mailing Address - Country:US
Mailing Address - Phone:505-224-7610
Mailing Address - Fax:505-224-7619
Practice Address - Street 1:415 CEDAR SE
Practice Address - Street 2:
Practice Address - City:ALBUQ
Practice Address - State:NM
Practice Address - Zip Code:87106
Practice Address - Country:US
Practice Address - Phone:505-224-7610
Practice Address - Fax:505-224-7619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
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
NM35303Medicaid
NM35303Medicaid
NM2108993Medicare ID - Type Unspecified