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Individual

DR. EDDIE RICHARD NASSAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D,

Contact information

Practice address
5000 DONIPHAN, SUITE 104, EL PASO, TX 79932
(915) 881-4225
(915) 881-4197
Mailing address
5000 DONIPHAN, SUITE 104, EL PASO, TX 79932
(915) 881-4225
(915) 881-4197

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L5482
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L5482
PHYSICIAN PERMIT
TX
Enumeration date
10/24/2006
Last updated
01/11/2011
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