Individual
DR. ASHLEY M CLASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
823 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 332-3664
(817) 882-9888
Mailing address
PO BOX 9290, FORT WORTH, TX 76147-2290
(817) 332-3664
(817) 336-6440
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
H1358
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040CG
BCBSTX GROUP ID
TX
05
—
079577501
—
TX
05
—
137400102
—
TX
01
—
82930G
BCBSTX PROVIDER ID
TX
Enumeration date
05/23/2005
Last updated
02/11/2022
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