# EL PASO ORAL SURGERY CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** El Paso Oral Maxillofacial And Implant Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699133801
- **Authorized official:** ROBERT B GULLEY DDS (OWNER/ORAL SURGEON)
- **Authorized official phone:** (361) 992-3873

## Contact information

- **Practice address:** 7878 GATEWAY BLVD EAST, SUITE 301, EL PASO, TX 79915
- **Practice address phone:** (361) 992-3873
- **Practice address fax:** (361) 992-7328
- **Mailing address:** 6421 SARATOGA BLVD, BLDG 101, CORPUS CHRISTI, TX 78414
- **Mailing address phone:** (361) 992-3873
- **Mailing address fax:** (361) 992-7328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2016
- **Last updated:** 02/02/2016