Healthcare Provider Details

I. General information

NPI: 1992544290
Provider Name (Legal Business Name): ASMO OVERHEAD, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2024
Last Update Date: 05/24/2024
Certification Date: 05/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1059 N JUDGE ELY BLVD
ABILENE TX
79601-3853
US

IV. Provider business mailing address

2074 ANTILLEY RD
ABILENE TX
79606-5209
US

V. Phone/Fax

Practice location:
  • Phone: 325-698-3865
  • Fax:
Mailing address:
  • Phone: 325-698-3865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BRYAN REUBEN VELA
Title or Position: ADMINISTRATOR
Credential:
Phone: 325-698-3865