Individual
JOHN RUSTON ASFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3025 N TARRANT PKWY STE 220, FORT WORTH, TX 76177-8629
(817) 885-7827
Mailing address
3025 N TARRANT PKWY STE 220, FORT WORTH, TX 76177-8629
(817) 697-3900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355584901
—
TX
01
—
8392NU
BCBS
TX
Enumeration date
06/15/2015
Last updated
04/23/2019
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