MEDICARE: ASH GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant	SA00396	TX

General Provider Information

NPI Number	:	1649504960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASH GROUP LLC

Provider Business Mailing Address
First Line	:	3509 BREWSTER DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-4445
Country	:	US
Telephone Number	:	972-712-5465
Fax Number	:	866-397-4767

Provider Business Practice Location Address
First Line	:	3509 BREWSTER DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-4445
Country	:	US
Telephone Number	:	972-712-5465
Fax Number	:	866-397-4767

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. KAREN ASH
Credential	:	LSA
Telephone Number	:	972-712-5465

Provider Enumeration Date	:	09/21/2009
Last Update Date	:	07/19/2011

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Directions to “ASH GROUP LLC ” Practice Location

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