Organization
WEST TEXAS MAXILLOFACIAL SURGERY PA
Active
Parent organization
WEST TEXAS MAXILLOFACIAL SURGERY, PA
Other names
High Desert Oral & Facial Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST TEXAS MAXILLOFACIAL SURGERY, PA
Authorized official
VERNON P BURKE DMD (DIRECTOR)
(210) 630-9909
Entity
Organization
Contact information
Practice address
10175 GATEWAY BLVD W, SUITE304, EL PASO, TX 79925-7618
(915) 504-6880
(915) 599-8579
Mailing address
10175 GATEWAY BLVD W, SUITE 304, EL PASO, TX 79925-7618
(915) 504-6880
(915) 599-8579
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
25153
TX
Other
Enumeration date
05/12/2011
Last updated
08/01/2024
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