Provider Demographics
NPI:1558698217
Name:DAUD H. ASHAI, M.D. P.A.
Entity Type:Organization
Organization Name:DAUD H. ASHAI, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-336-6000
Mailing Address - Street 1:1001 COLLEGE AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3000
Mailing Address - Country:US
Mailing Address - Phone:817-336-6000
Mailing Address - Fax:817-336-2072
Practice Address - Street 1:1001 COLLEGE AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3000
Practice Address - Country:US
Practice Address - Phone:817-336-6000
Practice Address - Fax:817-336-2072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-17
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A6038OtherMEDICARE PTAN