MEDICARE: DANIEL BEGHAB ASONGWE PHARMD

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	374U00000X	Home Health Aide
2	376J00000X	Homemaker
3	183500000X	Pharmacist	52218	TX
4	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1578812855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL BEGHAB ASONGWE PHARMD

Provider Business Mailing Address
First Line	:	435 NAKOMA DR
Second Line	:
City	:	ROCKWALL
State	:	TX
Zip	:	75087-0087
Country	:	US
Telephone Number	:	865-386-3710
Fax Number	:	214-216-1582

Provider Business Practice Location Address
First Line	:	2126 US HIGHWAY 79 S
Second Line	:
City	:	HENDERSON
State	:	TX
Zip	:	75654-4406
Country	:	US
Telephone Number	:	903-655-7561
Fax Number	:

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

Provider Enumeration Date	:	09/03/2012
Last Update Date	:	04/03/2024

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