Provider Demographics
NPI:1528584794
Name:ASARE, ADJOA KWATEMAA (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:ADJOA
Middle Name:KWATEMAA
Last Name:ASARE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16515 LEXINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2310
Mailing Address - Country:US
Mailing Address - Phone:281-980-6666
Mailing Address - Fax:
Practice Address - Street 1:2485 E SOUTHLAKE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6687
Practice Address - Country:US
Practice Address - Phone:817-873-0595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-18
Last Update Date:2022-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134920363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8KA969OtherBCBSTX
TX393342601Medicaid