Individual
GORDON H. MINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 215-5666
(915) 215-5047
Mailing address
477 OAK TREE CT, EL PASO, TX 79932
(817) 528-6169
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
93-336
NM
207L00000X
Anesthesiology Physician
E-6274
AR
207L00000X
Anesthesiology Physician
Primary
H8262
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00006486
—
NM
05
—
1043282981
—
UT
05
—
165665401
—
TX
05
—
184474
—
AZ
05
—
91933366
—
CO
01
—
NMAAA1223
MEDICARE PTAN
NM
Enumeration date
02/05/2006
Last updated
11/08/2023
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