Reo L Pugao (NPI# 1063689065, PAC ID# 5294979068) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1063689065 |
| PAC ID by PECOS | 5294979068 |
| Professional Enrollment ID | I20130917000507 |
| Full Name | Reo L Pugao |
| Organization Legal Name | WEST TEXAS MAXILLOFACIAL SURGERY PA |
| Address |
601 Sunland Park Dr Suite 2 El Paso TX 79912-5229 |
| Phone Number | 9155046880 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY |
| Graduation Year | 2007 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Group Practice PAC ID | 9436328473 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450024 | UNIVERSITY MEDICAL CENTER OF EL PASO |
| Address | Phone | Organization |
|---|---|---|
| 10175 Gateway W, Suite 304, El Paso, TX 79925-7618 | 9157791716 | WEST TEXAS MAXILLOFACIAL SURGERY PA |
| 601 Sunland Park Dr, Suite 2, El Paso, TX 79912-5229 | 9155046880 | WEST TEXAS MAXILLOFACIAL SURGERY PA |
| Organization Legal Name | WEST TEXAS MAXILLOFACIAL SURGERY PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M. Yates | Oral Surgery | West Texas Maxillofacial Surgery Pa | 601 Sunland Park Dr, Suite 2, El Paso, TX 79912-5229 |
| Ryan J Smart | Maxillofacial Surgery | West Texas Maxillofacial Surgery Pa | 601 Sunland Park Dr, Suite 2, El Paso, TX 79912-5229 |
| Vernon P Burke | Maxillofacial Surgery | West Texas Maxillofacial Surgery Pa | 601 Sunland Park Dr, Suite 2, El Paso, TX 79912-5229 |
| Natasha Furchtgott | Oral Surgery | West Texas Maxillofacial Surgery Pa | 601 Sunland Park Dr, Suite 2, El Paso, TX 79912-5229 |
| Hans C Brockhoff Ii | Oral Surgery | West Texas Maxillofacial Surgery Pa | 601 Sunland Park Dr, Suite 2, El Paso, TX 79912-5229 |
| Street Address |
601 SUNLAND PARK DR SUITE 2 |
| City | EL PASO |
| State | TX |
| Zip | 79912-5229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy John Dalimata | Nurse Practitioner | Nuch of Texas | 601 Sunland Park Dr, Suite 100, El Paso, TX 79912-5141 |
| David M. Yates | Oral Surgery | West Texas Maxillofacial Surgery Pa | 601 Sunland Park Dr, Suite 2, El Paso, TX 79912-5229 |
| Michelle A Foster | Physician Assistant | Nuch of Texas | 601 Sunland Park Dr, Suite 100, El Paso, TX 79912-5141 |
| Ryan J Smart | Maxillofacial Surgery | West Texas Maxillofacial Surgery Pa | 601 Sunland Park Dr, Suite 2, El Paso, TX 79912-5229 |
| Adela Rigsbee | Nurse Practitioner | Nuch of Texas | 601 Sunland Park Dr, Suite 100, El Paso, TX 79912-5141 |
| Joseph J Davis | Physician Assistant | Nuch of Texas | 601 Sunland Park Dr, Suite 100, El Paso, TX 79912-5141 |
| Vernon P Burke | Maxillofacial Surgery | West Texas Maxillofacial Surgery Pa | 601 Sunland Park Dr, Suite 2, El Paso, TX 79912-5229 |
| Bryan M Baca | Nurse Practitioner | Nuch of Texas | 601 Sunland Park Dr, Suite 100, El Paso, TX 79912-5141 |
| Jorge Salcedo | Family Medicine | Nuch of Texas | 601 Sunland Park Dr, Suite 100, El Paso, TX 79912-5141 |
| Natasha Furchtgott | Oral Surgery | West Texas Maxillofacial Surgery Pa | 601 Sunland Park Dr, Suite 2, El Paso, TX 79912-5229 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| German Picazo | Nurse Practitioner | El Paso County Hospital District | 6600 N Desert Blvd, El Paso, TX 79912 |
| Jose L Villarreal | Interventional Pain Management | 5652 N Mesa, El Paso, TX 79912 | |
| Rolando J Lindo Jr. | Family Medicine | El Paso County Hospital District | 6600 N Desert Blvd, El Paso, TX 79912 |
| Rhonda V Fleming | Infectious Disease | El Paso County Hospital District | 6600 N Desert Blvd, El Paso, TX 79912 |
| Jesus Alonzo | Family Medicine | El Paso County Hospital District | 6600 N Desert Blvd, El Paso, TX 79912 |
| Crystal E Fuller | Nurse Practitioner | Sinus and Allergy Specialists of Texas Pllc | 6955 N Mesa, Ste. 304 Texan Allergy, El Paso, TX 79912 |
| Iris A Tomas | Family Medicine | El Paso County Hospital District | 6600 N Desert Blvd, El Paso, TX 79912 |
| Maria Elena Gonzalez | Nurse Practitioner | Sinus and Allergy Specialists of Texas Pllc | 6955 N Mesa, El Paso, TX 79912 |
| Ashley Swensen Cotto | Occupational Therapy | Southwest Sport and Spine Center Inc | 1845 Northwestern Dr, Suite B, El Paso, TX 79912-1123 |
| Tammie L. Azolas | Physical Therapy | Southwest Sport and Spine Center Inc | 1845 Northwestern Dr, Suite B, El Paso, TX 79912-1123 |
| Find all physicians in zip 79912 | |||
| City | EL PASO |
| Zip Code | 79912 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | EL PASO + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Reo L Pugao.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.