Individual
AMANI QASEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2108 ASBURY PARK DR, ROUND ROCK, TX 78665-5014
(239) 209-0821
Mailing address
4515 SETON CENTER PKWY, SUITE 215, AUSTIN, TX 78759-5290
(512) 231-5506
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P9698
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393853YKXV
ARC TRAVIS MEDICARE
TX
01
—
393853YKXY
ARC ROT MEDICARE
TX
Enumeration date
06/28/2010
Last updated
03/11/2015
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