Healthcare Provider Details

I. General information

NPI: 1639418718
Provider Name (Legal Business Name): TEXAN CARDIOVASCULAR INSTITUTE, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2013
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 JOE BATTLE BLVD
EL PASO TX
79936-0962
US

IV. Provider business mailing address

1840 JOE BATTLE BLVD
EL PASO TX
79936-0962
US

V. Phone/Fax

Practice location:
  • Phone: 915-249-4344
  • Fax: 915-307-2765
Mailing address:
  • Phone: 915-249-4344
  • Fax: 915-307-2765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberP4685
License Number StateTX

VIII. Authorized Official

Name: DR. ALI MOHAMED NASUR
Title or Position: OWNER
Credential: MD
Phone: 915-249-4344