Organization
A1B HEALTHCARE
Active
Other names
A1B healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
PARVANEH ASADI Y NP (FNP/CLINICIAN,OWNER)
(817) 715-6166
Entity
Organization
Contact information
Practice address
771 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6341
(817) 715-6166
Mailing address
5521 MONTHAVEN DR, FORT WORTH, TX 76137-4387
(817) 715-6166
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275979056
FAMILY MEDICINE
—
01
—
1346457751
PSYCHIATRIST, PAIN MEDICINE
—
01
—
1760882518
NPI
—
Enumeration date
03/29/2019
Last updated
03/29/2019
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