Healthcare Provider Details

I. General information

NPI: 1417282385
Provider Name (Legal Business Name): EPASSC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2009
Last Update Date: 12/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 N STANTON ST
EL PASO TX
79902-3511
US

IV. Provider business mailing address

661 S MESA HILLS DR STE 102
EL PASO TX
79912-5550
US

V. Phone/Fax

Practice location:
  • Phone: 915-533-8412
  • Fax: 915-599-4141
Mailing address:
  • Phone: 575-532-7000
  • Fax: 575-532-7006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DENNIS ROBBINS
Title or Position: MBR
Credential: CRNA
Phone: 575-532-7000