An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
taxonomy 207Y00000X
Identifiers
Type
Value
Notes
01 (TX)
DF4605
RAILROAD MC
05 (TX)
153977701
01 (TX)
0021PU
BCBS GROUP
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Ennis Ear, Nose & Throat
Type code 3recorded 2007-03-27
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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