Provider Demographics
NPI:1689806234
Name:EL PASO ASC LP
Entity Type:Organization
Organization Name:EL PASO ASC LP
Other - Org Name:ENDOSCOPY CENTER OF EL PASO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLENDENIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-665-1283
Mailing Address - Street 1:1300 MURCHISON DR
Mailing Address - Street 2:SUITE 180
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4842
Mailing Address - Country:US
Mailing Address - Phone:915-544-5000
Mailing Address - Fax:915-544-5001
Practice Address - Street 1:1300 MURCHISON DR
Practice Address - Street 2:SUITE 180
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4842
Practice Address - Country:US
Practice Address - Phone:915-544-5000
Practice Address - Fax:915-544-5001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-17
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F33697OtherCRNA DUANE RIEGEL
TX8L20195OtherCRNA PATRICK HANDY
TX8F33696OtherCRNA RIC BARIBEAULT
TX8L23364OtherCRNA DARLENE MILLER
TX8F33695OtherCRNA LAURA GARCIA
TX8L23970OtherCRNA ROTH OWEN
TX8L25450OtherCRNA GLYNN COOPER
TX8L22433OtherCRNA JAMES BODOH
TX8L22432OtherCRNA JAMES MATTINGLY
TX8L21090OtherCRNA JASON GALES
TX8L219066OtherCRNA JOEL EHLER
TX8L25450OtherCRNA GLYNN COOPER