Elam, Gary Wayne

Elam, Gary Wayne is an individual health care provider with primary practice located at 520 N Washington Ave , Odessa TX 79761-4435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Elam, Gary Wayne can be contacted via phone (432) 337-4321.

Contact Information

Primary practice address
520 N Washington Ave Odessa TX 79761-4435
Phone: (432) 337-4321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 10309 Oklahoma
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X E3259 Texas

Profile Details

NPI number 1013938406
LBN Legal business name Elam, Gary Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 16th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013938406 NPPES
Texas Other 00R664 BC/BS PROVIDER NUMBER

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