Individual
MR. LINUS O ASONYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 W CENTERVILLE RD, GARLAND, TX 75041-5445
(972) 278-3566
Mailing address
330 DE HAES AVE, DALLAS, TX 75224-2840
(469) 671-6295
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
325546
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164X00000X
—
TX
Enumeration date
02/16/2018
Last updated
02/16/2018
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