NPI 1700178555

West Texas Maxillofacial Surgery PA

Organisation Oral & Maxillofacial Surgery (D.M.D.) El Paso, TX

Practice location

Address: 10175 Gateway Blvd W Suite304, El Paso, TX 79925-7618
Phone: (915) 504-6880
Fax: (915) 599-8579
Mailing address: 10175 Gateway Blvd W Suite 304, El Paso, TX 79925-7618

Authorised official

Name: Vernon P Burke
Title: Director
Phone: (210) 630-9909

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 25153 (TX)

Other Oral & Maxillofacial Surgery providers in Texas →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Texas →

Registry record

NPI: 1700178555
Entity type: Organization
NPI issued: 12 May 2011
Record last updated: 23 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.