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NPI Code Detail

MEDICARE: MR. LINUS O ASONYE

MEDICARE: MR. LINUS O ASONYE
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
1164X00000XLicensed Vocational Nurse325546TX

Other Identifiers

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

General Provider Information

NPI Number : 1528568458
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LINUS O ASONYE
Provider Business Mailing Address
First Line : 330 DE HAES AVE
Second Line :
City : DALLAS
State : TX
Zip : 75224-2840
Country : US
Telephone Number : 469-671-6295
Fax Number :
Provider Business Practice Location Address
First Line : 505 W CENTERVILLE RD
Second Line :
City : GARLAND
State : TX
Zip : 75041-5445
Country : US
Telephone Number : 972-278-3566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2018
Last Update Date : 02/16/2018

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