Healthcare Provider Details

I. General information

NPI: 1720180870
Provider Name (Legal Business Name): ASMA NURI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 10/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 MONTOPOLIS DRIVE
AUSTIN TX
78741
US

IV. Provider business mailing address

2901 MONTOPOLIS DR
AUSTIN TX
78741-6411
US

V. Phone/Fax

Practice location:
  • Phone: 254-743-0135
  • Fax:
Mailing address:
  • Phone: 512-389-6727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK9141
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: