# WEST TEXAS MAXILLOFACIAL SURGERY PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WEST TEXAS MAXILLOFACIAL SURGERY, PA
- **Other names:** High Desert Oral & Facial Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700178555
- **Legal business name:** WEST TEXAS MAXILLOFACIAL SURGERY, PA
- **Authorized official:** VERNON P BURKE DMD (DIRECTOR)
- **Authorized official phone:** (210) 630-9909

## Contact information

- **Practice address:** 10175 GATEWAY BLVD W, SUITE304, EL PASO, TX 79925-7618
- **Practice address phone:** (915) 504-6880
- **Practice address fax:** (915) 599-8579
- **Mailing address:** 10175 GATEWAY BLVD W, SUITE 304, EL PASO, TX 79925-7618
- **Mailing address phone:** (915) 504-6880
- **Mailing address fax:** (915) 599-8579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 25153 | TX | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 05/12/2011
- **Last updated:** 06/23/2026