Healthcare Provider Details
I. General information
NPI: 1184283384
Provider Name (Legal Business Name): ASMAR INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/11/2019
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
864 CENTRAL BLVD STE 1100
BROWNSVILLE TX
78520-7595
US
IV. Provider business mailing address
5506 S JACKSON RD
EDINBURG TX
78539-9902
US
V. Phone/Fax
- Phone: 956-541-9827
- Fax: 956-548-1005
- Phone: 956-661-0066
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0202X |
| Taxonomy | Pediatric Cardiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MUHAMMAD
AMAR
KHAN
Title or Position: OWNER
Credential: MD
Phone: 956-661-0066