Herbert J. Nassour, M. D., P.a.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

G5975 Issued in TX

Legal business name

HERBERT J. NASSOUR, M. D., P.A.

Practice address

1300 Murchison Dr
Suite 300
El Paso, TX 79902-4842

Phone

(915) 532-0555

Fax

(915) 532-0571

NPI assigned

Mar 21, 2014

Organization subpart

No

Name

Valeska Mendoza

Title

Office Manager

Phone

(915) 532-0555

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2014.

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1649697236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MURCHISON DR",
            "address_2": "SUITE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024842",
            "telephone_number": "915-532-0555",
            "fax_number": "915-532-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MURCHISON DR",
            "address_2": "SUITE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024842",
            "telephone_number": "915-532-0555",
            "fax_number": "915-532-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT J. NASSOUR, M. D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "VALESKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "915-532-0555"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "G5975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137890310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.