Individual
DR. MICHELLE THERESA ASHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2410 ROUND ROCK AVE STE 150, ROUND ROCK, TX 78681-4019
(512) 341-8724
(512) 687-0295
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A111370
CA
207R00000X
Internal Medicine Physician
P8842
TX
207RH0003X
Hematology & Oncology Physician
Primary
P8842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337804401
—
TX
05
—
337804402
—
TX
01
—
P01487958
RAILROAD MEDICARE
TX
Enumeration date
06/14/2010
Last updated
01/15/2024
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