Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 1160 | WY |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 12562 | TX |
N | 1223S0112X | Oral and Maxillofacial Surgeon | DD2840 | NM |
Y | 204E00000X | Oral & Maxillofacial Surgeon | T2400 | ND |
NPI | 1427194364 |
---|---|
Provider Name | Dr. Trent Cecil Filler |
First Address | El Paso, TX 79995-9520 |
Second Address | El Paso, TX 79905-2709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 13/07/2020 |