# EZELL ASKEW MD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Askew Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427446053
- **Authorized official:** DR. EZELL ASKEW JR. MD (DIRECTOR)
- **Authorized official phone:** (505) 401-6092

## Contact information

- **Practice address:** 801 S FAIRMONT AVE, SUITE 1, LODI, CA 95240-5106
- **Practice address phone:** (209) 603-9217
- **Practice address fax:** (209) 594-1665
- **Mailing address:** 801 S FAIRMONT AVE, SUITE 1, LODI, CA 95240-5106
- **Mailing address phone:** (209) 603-9217
- **Mailing address fax:** (209) 594-1665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A90462 | CA | Yes |

## Other

- **Enumeration date:** 01/05/2015
- **Last updated:** 03/20/2015