Basic Information
| Provider Information | |||||||||
| NPI: | 1659490944 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | GAO | ||||||||
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| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4800 ALBERTA AVE | ||||||||
| Address2: | SUITE 116 DEPARTMENT OF ANESTHESIOLOGY | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799052709 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155456560 | ||||||||
| FaxNumber: | 9155456984 | ||||||||
| Practice Location | |||||||||
| Address1: | 4011 ALABAMA ST | ||||||||
| Address2: | APT 11204 | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799302400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4045806379 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2007 | ||||||||
| LastUpdateDate: | 08/18/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | ME108526 | FL | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.