Individual
MARK GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3909 N MESA ST STE 100, EL PASO, TX 79902-1501
(915) 532-2222
Mailing address
4445 N MESA ST STE 122, EL PASO, TX 79902-1117
(915) 219-4300
(915) 519-4300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G8120
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133738801
—
TX
05
—
133738808
—
TX
01
—
89T296
BCBS
TX
01
—
8U4600
BCBS
TX
Enumeration date
09/16/2006
Last updated
08/21/2025
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