Organization
EDWARD R ASSI DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE RANDLE (SUPERVISOR)
(915) 577-9009
Entity
Organization
Contact information
Practice address
1700 E CLIFF DR BLDG A, SUITE 200, EL PASO, TX 79902-5192
(915) 577-9009
(915) 577-9006
Mailing address
1700 E CLIFF DR BLDG A, SUITE 200, EL PASO, TX 79902-5192
(915) 577-9009
(915) 577-9006
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002KP
BLUE CROSS BLUE SHIELD
TX
05
—
2005662-01
—
TX
Enumeration date
08/22/2006
Last updated
09/22/2015
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