Provider Demographics
NPI:1801863634
Name:ASSAR, MANISH D (MD)
Entity Type:Individual
Prefix:DR
First Name:MANISH
Middle Name:D
Last Name:ASSAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:621 N HALL ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75226-1339
Mailing Address - Country:US
Mailing Address - Phone:469-800-7400
Mailing Address - Fax:469-800-7410
Practice Address - Street 1:621 N HALL ST
Practice Address - Street 2:SUITE 400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75226-1339
Practice Address - Country:US
Practice Address - Phone:469-800-7400
Practice Address - Fax:469-800-7410
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ8895207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116973208Medicaid
TX116973209Medicaid
TX116973207Medicaid
TX116973206Medicaid
TX116973204Medicaid
TXG09441Medicare UPIN
TX116973208Medicaid
TX116973204Medicaid
TX116973207Medicaid
TX8A0530Medicare PIN
TX343921YKTPMedicare PIN