Organization
SOUTHWEST EAR NOSE & THROAT CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN E BRIGHT MD (PHYSICIAN)
(915) 544-1350
Entity
Organization
Contact information
Practice address
1600 MEDICAL CENTER DR STE 101, EL PASO, TX 79902-5008
(915) 544-1350
(915) 544-6740
Mailing address
1600 MEDICAL CENTER, STE 101, EL PASO, TX 79902-5008
(915) 544-1350
(915) 544-6740
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K7250
TX
207Y00000X
Otolaryngology Physician
J9716
TX
207Y00000X
Otolaryngology Physician
Primary
K7250
TX
207Y00000X
Otolaryngology Physician
L7891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T50W
BCBS
TX
05
—
085285701
—
TX
Enumeration date
02/08/2007
Last updated
10/18/2023
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