Provider Demographics
NPI:1518188945
Name:ASKEW, TROY WESLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:WESLEY
Last Name:ASKEW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 S FLEISHEL AVE
Mailing Address - Street 2:SUITE #300
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-3355
Mailing Address - Country:US
Mailing Address - Phone:903-592-0665
Mailing Address - Fax:903-592-0005
Practice Address - Street 1:1407 S FLEISHEL AVE
Practice Address - Street 2:SUITE #300
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-3355
Practice Address - Country:US
Practice Address - Phone:903-592-0665
Practice Address - Fax:903-592-0005
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC5733111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX603806Medicare ID - Type Unspecified
TXU33402Medicare UPIN