Healthcare Provider Details

I. General information

NPI: 1508112582
Provider Name (Legal Business Name): NASSER DEAN ASKARI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2012
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 MATLOCK RD STE 101
MANSFIELD TX
76063-6564
US

IV. Provider business mailing address

1001 MATLOCK RD STE 101
MANSFIELD TX
76063-6564
US

V. Phone/Fax

Practice location:
  • Phone: 817-539-0770
  • Fax:
Mailing address:
  • Phone: 817-539-0770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberQ6492
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberQ6492
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: