Individual
MOSES TARHSONG ASHUKEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4302 S SUGAR RD STE 200, EDINBURG, TX 78539-9140
(956) 603-1333
(956) 380-4433
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
(956) 603-1333
(956) 380-4433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54102
AZ
207RC0000X
Cardiovascular Disease Physician
T0706
TX
207RI0011X
Interventional Cardiology Physician
Primary
T0706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Q1025
PTAN
TX
Enumeration date
04/02/2014
Last updated
08/26/2021
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