MEDICARE: MR. MOHAMMAD WALID ASFOUR MD

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	2084N0400X	Neurology Physician	H4863	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

General Provider Information

NPI Number	:	1275590283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MOHAMMAD WALID ASFOUR MD

Provider Business Mailing Address
First Line	:	PO BOX 82
Second Line	:
City	:	SHANNON
State	:	AL
Zip	:	35142-0082
Country	:	US
Telephone Number	:	888-212-4243
Fax Number	:	972-472-2091

Provider Business Practice Location Address
First Line	:	11801 SOUTH FWY
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-7021
Country	:	US
Telephone Number	:	817-293-9110
Fax Number	:

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

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	06/10/2025

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