Healthcare Provider Details

I. General information

NPI: 1215566252
Provider Name (Legal Business Name): LAURENE ASARE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 MITCHELL AVE
BINGHAMTON NY
13903-1642
US

IV. Provider business mailing address

6431 FANNIN ST # 5.136
HOUSTON TX
77030-1501
US

V. Phone/Fax

Practice location:
  • Phone: 607-762-3281
  • Fax:
Mailing address:
  • Phone: 713-500-6868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberW0512
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: