Healthcare Provider Details
I. General information
NPI: 1144152141
Provider Name (Legal Business Name): ASAD ULLAH JAMAL M.B.B.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6200 W PARKER RD
PLANO TX
75093-8185
US
IV. Provider business mailing address
6200 W PARKER RD
PLANO TX
75093-8185
US
V. Phone/Fax
- Phone: 972-989-7255
- Fax: 972-981-0082
- Phone: 972-989-7255
- Fax: 972-981-0082
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: