Provider Demographics
NPI:1003425406
Name:ASEMINASO, TONYE HOUSTON
Entity Type:Individual
Prefix:
First Name:TONYE
Middle Name:HOUSTON
Last Name:ASEMINASO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:TONYE
Other - Middle Name:HOUSTON
Other - Last Name:ASEMINASO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MLT
Mailing Address - Street 1:9201 NORWICH DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-6089
Mailing Address - Country:US
Mailing Address - Phone:214-385-6722
Mailing Address - Fax:
Practice Address - Street 1:9201 NORWICH DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-6089
Practice Address - Country:US
Practice Address - Phone:214-385-6722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical TechnologistGroup - Single Specialty