Healthcare Provider Details

I. General information

NPI: 1063009058
Provider Name (Legal Business Name): MEDHAT ASKAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/24/2020
Last Update Date: 12/24/2020
Certification Date: 12/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1624 NEW YORK AVE
ARLINGTON TX
76010-4724
US

IV. Provider business mailing address

1312 BROWN TRL STE A1
BEDFORD TX
76022-6411
US

V. Phone/Fax

Practice location:
  • Phone: 682-252-4425
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: