Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | M6506 | TX |
NPI | 1013028646 |
---|---|
Provider Name | Osei Kwame Asamoah |
First Address | Texarkana, TX 75503-2387 |
Second Address | Texarkana, TX 75503-2387 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 05/08/2013 |