Imam, Asher S.
Imam, Asher S. is an sole proprietor health care provider with primary practice located at 175 Stonebridge Ln Ste 100 , Southlake TX 76092-0307. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Imam, Asher S. can be contacted via phone (817) 421-2905.Contact Information
Primary practice address
175 Stonebridge Ln Ste 100
Southlake TX 76092-0307
Phone: (817) 421-2905
Fax: (817) 431-6459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | K9573 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | K9573 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | K9573 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | K9573 | Texas |
Profile Details
| NPI number | 1376602144 |
|---|---|
| LBN Legal business name | Imam, Asher S. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2006 |
| Last updated | Sep 28th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376602144 | NPPES |
| Texas | MEDICAID | 044094302 |
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