MEDICARE: ASMED LLC

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

General Provider Information

NPI Number	:	1841007606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASMED LLC

Provider Business Mailing Address
First Line	:	3200 S LANCASTER RD STE 625
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75216-8821
Country	:	US
Telephone Number	:	813-599-1022
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 S LANCASTER RD STE 625
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75216-8821
Country	:	US
Telephone Number	:	813-599-1022
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	VIRGINIA TAKU
Credential	:	APRN
Telephone Number	:	813-599-1022

Provider Enumeration Date	:	12/16/2024
Last Update Date	:	01/24/2026

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Directions to “ASMED LLC ” Practice Location

Language	Start Address	Practice Location

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