Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 89 | OK |
NPI | 1316907363 |
---|---|
Provider Name | Dr. Henry M Asin |
First Address | Oklahoma City, OK 73112-2089 |
Second Address | Oklahoma City, OK 73112-2082 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
730742114-001 | BLUE CROSS BLUE SHIELD OF (01) | OK |
T40733 | (02) | OK |