Individual
ADIB R ASRABADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-3681
Mailing address
1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104-2820
(817) 250-4906
(817) 250-1815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP1-0026265
TX
207R00000X
Internal Medicine Physician
Primary
N2387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215726501
—
TX
01
—
P00886965
RAILROAD MEDICARE
TX
Enumeration date
06/14/2007
Last updated
08/27/2019
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