MEDICARE: ASEEM ALI

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	363LF0000X	Family Nurse Practitioner	AP140048	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	8LR049	OTHER	TX	BCBS OF TEXAS

General Provider Information

NPI Number	:	1508338146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASEEM ALI

Provider Business Mailing Address
First Line	:	1300 ROLLINGBROOK DR STE 508
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77521-3863
Country	:	US
Telephone Number	:	281-837-6463
Fax Number	:	346-980-4054

Provider Business Practice Location Address
First Line	:	1401 LAVACA ST # 996
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-1634
Country	:	US
Telephone Number	:	504-414-5095
Fax Number	:

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

Provider Enumeration Date	:	12/20/2018
Last Update Date	:	07/21/2023

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Directions to “ ASEEM ALI ” Practice Location

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