Provider Demographics
NPI:1639418718
Name:TEXAN CARDIOVASCULAR INSTITUTE, PA
Entity Type:Organization
Organization Name:TEXAN CARDIOVASCULAR INSTITUTE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:NASUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-249-4344
Mailing Address - Street 1:1840 JOE BATTLE BLVD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-0962
Mailing Address - Country:US
Mailing Address - Phone:915-249-4344
Mailing Address - Fax:915-307-2765
Practice Address - Street 1:1840 JOE BATTLE BLVD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-0962
Practice Address - Country:US
Practice Address - Phone:915-249-4344
Practice Address - Fax:915-307-2765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-08
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4685207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty