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NPI Code Detail

MEDICARE: MR. GARY NANEZ M.D.

MEDICARE:  MR. GARY  NANEZ  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology PhysicianL4591TX

General Provider Information

NPI Number : 1669479127
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GARY NANEZ M.D.
Provider Business Mailing Address
First Line : 5959 GATEWAY WEST
Second Line : STE 160
City : EL PASO
State : TX
Zip : 79925-3315
Country : US
Telephone Number : 915-779-5866
Fax Number : 915-779-8604
Provider Business Practice Location Address
First Line : 5959 GATEWAY WEST
Second Line : STE 160
City : EL PASO
State : TX
Zip : 79925-3315
Country : US
Telephone Number : 915-779-5866
Fax Number : 915-779-8604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 04/17/2024

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Directions to “ MR. GARY NANEZ M.D.” Practice Location

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