Dr. Gary Wayne Elam
Otolaryngologist (ENT Doctor)
520 N Washington Ave
Odessa
, Texas 79761-4435
Dr. Gary Wayne Elam
Otolaryngologist (ENT Doctor)
520 N Washington Ave
Odessa
, Texas 79761-4435
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Gary Wayne Elam
- 520 N Washington Ave
- Odessa, TX
- Zip : 79761-4435
- Phone :
Second Address
- Dr. Gary Wayne Elam
- 520 N Washington Ave
- Odessa, TX
- Zip : 79761-4435
- Phone : (432) 337-4321
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 10309 | OK |
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | E3259 | TX |
National Provider Identifier
| NPI | 1013938406 |
|---|---|
| Provider Name | Dr. Gary Wayne Elam |
| First Address | Odessa, TX 79761-4435 |
| Second Address | Odessa, TX 79761-4435 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 16/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00R664 | BC/BS PROVIDER NUMBER (01) | TX |
| B22497 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.