Individual
ASHLEY U SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6750 N MACARTHUR BLVD, STE. 350, IRVING, TX 75039-2875
(972) 556-1616
(972) 556-1740
Mailing address
6750 N MACARTHUR BLVD STE 350, IRVING, TX 75039-2484
(972) 556-1616
(972) 831-3931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L4134
TX
207R00000X
Internal Medicine Physician
Primary
L4134
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152234401
—
TX
05
—
152234402
—
TX
05
—
152234404
—
TX
05
—
152234405
—
TX
05
—
200839302
—
TX
Enumeration date
07/10/2006
Last updated
11/01/2019
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