MEDICARE: ANTONIO ASIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	034987	CT
2	207V00000X	Obstetrics & Gynecology Physician	N4264	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205877214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTONIO ASIS M.D.

Provider Business Mailing Address
First Line	:	2665 SCRIPTURE ST
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-2302
Country	:	US
Telephone Number	:	940-387-8763
Fax Number	:	940-535-5901

Provider Business Practice Location Address
First Line	:	2665 SCRIPTURE ST
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-2302
Country	:	US
Telephone Number	:	940-387-8763
Fax Number	:	940-535-5901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	11/22/2019

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Directions to “ ANTONIO ASIS M.D.” Practice Location

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