Healthcare Provider Details

I. General information

NPI: 1144559683
Provider Name (Legal Business Name): SYED ALI ASGHAR PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2009
Last Update Date: 11/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1014 WIMBERLY CT
ALLEN TX
75013-1195
US

IV. Provider business mailing address

PO BOX 835840
RICHARDSON TX
75083-5840
US

V. Phone/Fax

Practice location:
  • Phone: 972-547-4850
  • Fax: 972-547-4851
Mailing address:
  • Phone: 972-680-1577
  • Fax: 972-690-9834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SYED ALI ASGHAR
Title or Position: PROVIDER
Credential: MD
Phone: 214-383-2894