Healthcare Provider Details
I. General information
NPI: 1952807331
Provider Name (Legal Business Name): ASADULLAH HELAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/04/2018
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3500 GASTON AVE
DALLAS TX
75246-2017
US
IV. Provider business mailing address
3500 GASTON AVE
DALLAS TX
75246-2017
US
V. Phone/Fax
- Phone: 214-820-0111
- Fax:
- Phone: 214-820-7272
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | BP10063528 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: