Provider Demographics
NPI:1164497632
Name:ASKINS, DENNIS RANDALL (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:RANDALL
Last Name:ASKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 N GALLOWAY AVE
Mailing Address - Street 2:SUITE 222
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-2476
Mailing Address - Country:US
Mailing Address - Phone:214-320-7140
Mailing Address - Fax:972-289-9247
Practice Address - Street 1:1011 N GALLOWAY AVE
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-2433
Practice Address - Country:US
Practice Address - Phone:214-320-7141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-20
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4798207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG4798TXOtherWORKERS COMP
TX025415301Medicaid
TX0575187OtherAETNA
TX00B50COtherBCBS
TX10023108OtherAMERIGROUP
TX089798502Medicaid
158650XXOtherPREFFERED CARE
TX00B50COtherBCBS
TX025415301Medicaid
TX089798502Medicaid
TX220004098Medicare PIN