Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

ENT Clinic of Pueblo Prof LLC

Organization Otolaryngology Physician · NPI 1376595504

ENT Clinic of Pueblo Prof LLC is an Otolaryngology Physician in Pueblo, Colorado. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1304 N Grand Ave
Pueblo, CO 81003-2759
Phone: (719) 544-3752
Fax: (719) 542-1794
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1376595504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlene Hickson — Owner/Partner · (719) 544-3752
NPI enumeratedMay 16, 2006
Last updated in NPPESJanuary 30, 2008
Mailing address1304 N Grand Ave, Pueblo, CO 81003-2759

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