Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | K6803 | TX |
NPI | 1063407740 |
---|---|
Provider Name | Dr. Syed Ali Asghar |
First Address | Dallas, TX 75235-2208 |
Second Address | Mckinney, TX 75069-1650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2005 |
Last Update Date | 15/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
118096004 | (05) | TX |
G87485 | (02) | TX |