Provider Demographics
NPI:1598721904
Name:ASSI, MUNEER E (DO)
Entity Type:Individual
Prefix:
First Name:MUNEER
Middle Name:E
Last Name:ASSI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1700 E CLIFF DR
Mailing Address - Street 2:BLDG A STE 100
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5100
Mailing Address - Country:US
Mailing Address - Phone:915-351-6200
Mailing Address - Fax:915-351-6204
Practice Address - Street 1:1700 E CLIFF DR
Practice Address - Street 2:BLDG A STE 100
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5100
Practice Address - Country:US
Practice Address - Phone:915-351-6200
Practice Address - Fax:915-351-6204
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ9957207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX031104502Medicaid
TX0037ETOtherBCBS
TX8F24402OtherMEDICARE PTAN
TX110213044OtherRAILROAD MEDICARE
G04688Medicare UPIN