Basic Information
Provider Information
NPI: 1912389370
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADAMS
FirstName: ASHA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 900 8TH AVE
Address2:  
City: FORT WORTH
State: TX
PostalCode: 761043902
CountryCode: US
TelephoneNumber: 8178775292
FaxNumber:  
Practice Location
Address1: 4521 MEDICAL CENTER DR STE 500
Address2:  
City: MCKINNEY
State: TX
PostalCode: 750696862
CountryCode: US
TelephoneNumber: 9725628383
FaxNumber: 9725488388
Other Information
ProviderEnumerationDate: 06/22/2015
LastUpdateDate: 10/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XBP10053242TXY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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