Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTHWEST ANESTHESIA GROUP, P.A.
Active
Organization
SOUTHWEST ANESTHESIA GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GAN D.O. (PHYSICIAN)
(915) 779-1716
Entity
Organization
Contact information
Practice address
5959 GATEWAY BLVD W, STE. 120, EL PASO, TX 79925-3331
(915) 774-5539
(915) 771-6558
Mailing address
5959 GATEWAY BLVD W, STE. 120, EL PASO, TX 79925-3331
(915) 774-5539
(915) 771-6558
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00K80Q
BCBS
TX
05
—
094933101
—
TX
Enumeration date
09/16/2006
Last updated
11/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up