Healthcare Provider Details

I. General information

NPI: 1699840272
Provider Name (Legal Business Name): EAR ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 CEDAR SE
ALBUQ NM
87106
US

IV. Provider business mailing address

415 CEDAR SE
ALBUQ NM
87106
US

V. Phone/Fax

Practice location:
  • Phone: 505-224-7610
  • Fax: 505-224-7619
Mailing address:
  • Phone: 505-224-7610
  • Fax: 505-224-7619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: KARL L HORN
Title or Position: SURGEON PHYSICIAN
Credential: MD
Phone: 505-224-7610