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Individual

ANTONIO ASIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2665 SCRIPTURE ST, DENTON, TX 76201-2302
(940) 387-8763
(940) 535-5901
Mailing address
2665 SCRIPTURE ST, DENTON, TX 76201-2302
(940) 387-8763
(940) 535-5901

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
034987
CT
207V00000X
Obstetrics & Gynecology Physician
Primary
N4264
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1349879
CT
05
215000501
TX
05
215000502
TX
01
215000503
MEDICAID OTHER
TX
Enumeration date
06/09/2006
Last updated
11/22/2019
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