Individual
ANGELA E ASOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
717 S GREENVILLE AVE, STE 104, ALLEN, TX 75002-3317
(972) 396-1900
(972) 396-1901
Mailing address
421 PALOMINO WAY, FAIRVIEW, TX 75069-1531
(469) 585-7721
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L8604
TX
208000000X
Pediatrics Physician
MA69683
NJ
208000000X
Pediatrics Physician
MD058635L
PA
208000000X
Pediatrics Physician
Primary
MD2023-1277
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001632389
—
PA
05
—
7291507
—
NJ
01
—
L8604
TX LICENSE
TX
Enumeration date
08/01/2006
Last updated
12/08/2023
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