Basic Information
| Provider Information | |||||||||
| NPI: | 1760622401 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MOHSIN | ||||||||
| FirstName: | ASIA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 799 | ||||||||
| Address2: | |||||||||
| City: | FRIENDSWOOD | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775490799 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2819934072 | ||||||||
| FaxNumber: | 2816482200 | ||||||||
| Practice Location | |||||||||
| Address1: | 308 S FRIENDSWOOD DR STE 110 | ||||||||
| Address2: | |||||||||
| City: | FRIENDSWOOD | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77546 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2819934072 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/20/2009 | ||||||||
| LastUpdateDate: | 09/20/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | N2195 | TX | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 214325704 | 05 | TX | MEDICAID | 8FX332 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER | N2195 | 01 | TX | TEXAS MEDICAL LICENSE | OTHER | 214325705 | 05 | TX | MEDICAID | 8FL160 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER |