1144559683 NPI number — SYED ALI ASGHAR PA

Table of content: (NPI 1144559683)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144559683 NPI number — SYED ALI ASGHAR PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SYED ALI ASGHAR PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144559683
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/07/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 835840
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHARDSON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75083-5840
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-680-1577
Provider Business Mailing Address Fax Number:
972-690-9834

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1014 WIMBERLY CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALLEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75013-1195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-547-4850
Provider Business Practice Location Address Fax Number:
972-547-4851
Provider Enumeration Date:
12/11/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ASGHAR
Authorized Official First Name:
SYED
Authorized Official Middle Name:
ALI
Authorized Official Title or Position:
PROVIDER
Authorized Official Telephone Number:
214-383-2894

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RN0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)