Individual
MR. EDWARD RALPH ASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K5782
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1446858-07
—
TX
01
—
8K0980
BLUE CROSS BLUE SHIELD
TX
01
—
P00060917
MEDICARE RAILROAD
TX
Enumeration date
07/21/2005
Last updated
12/31/2012
Update your record
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