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NPI Code Detail

MEDICARE: ASMA SHAMEEM MOHAMMED P.A

MEDICARE: ASMA SHAMEEM MOHAMMED P.A
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
1363A00000XPhysician AssistantPA 05789TX

General Provider Information

NPI Number : 1609031814
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASMA SHAMEEM MOHAMMED P.A
Provider Business Mailing Address
First Line : 1617 HEMPHILL ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4709
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1617 HEMPHILL ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4709
Country : US
Telephone Number : 817-702-2485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2008
Last Update Date : 04/06/2022

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Directions to “ ASMA SHAMEEM MOHAMMED P.A” Practice Location

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