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NPI Code Detail

MEDICARE: ASMED LLC

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
1363LF0000XFamily 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

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