Provider Demographics
NPI:1851618110
Name:MUNEER E. ASSI, D.O., P.A.
Entity Type:Organization
Organization Name:MUNEER E. ASSI, D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MUNEER
Authorized Official - Middle Name:ELIAS
Authorized Official - Last Name:ASSI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:915-351-6200
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9957207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A6213OtherMEDICARE PTAN
TX298699401Medicaid