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NPI Code Detail

MEDICARE: EPASSC LLC

MEDICARE: EPASSC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1417282385
Entity Type Code : Organization
Provider Name (Legal Business Name) : EPASSC LLC
Provider Business Mailing Address
First Line : 661 S MESA HILLS DR
Second Line : STE 102
City : EL PASO
State : TX
Zip : 79912-5550
Country : US
Telephone Number : 575-532-7000
Fax Number : 575-532-7006
Provider Business Practice Location Address
First Line : 1815 N STANTON ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-3511
Country : US
Telephone Number : 915-533-8412
Fax Number : 915-599-4141
Authorized Official
Title or Position : MBR
Name : DENNIS ROBBINS
Credential : CRNA
Telephone Number : 575-532-7000
Provider Enumeration Date : 10/12/2009
Last Update Date : 12/04/2009

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Directions to “EPASSC LLC ” Practice Location

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