Individual
ASMEROM ASMELASH ASFAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
832 E 1ST ST, FORT WORTH, TX 76102-3212
(469) 602-8919
Mailing address
832 E 1ST ST, FORT WORTH, TX 76102-3212
(469) 602-8919
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
04253607
TX
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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