Individual
ANTHONY TAE HYUNG HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3215 GATEWAY BLVD W, EL PASO, TX 79903-4225
(915) 598-7246
(915) 633-6598
Mailing address
3215 GATEWAY BLVD W, EL PASO, TX 79903-4225
(915) 598-7246
(915) 633-6598
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
P1182
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
P1182
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22121
WELLMARK BCBS
IA
Enumeration date
08/29/2006
Last updated
08/06/2014
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