Provider Demographics
NPI:1568827806
Name:ASTROS HEALTHCARE LLC
Entity Type:Organization
Organization Name:ASTROS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANUEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABREHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-331-8438
Mailing Address - Street 1:723 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:TX
Mailing Address - Zip Code:77575-4813
Mailing Address - Country:US
Mailing Address - Phone:832-331-8438
Mailing Address - Fax:281-873-8101
Practice Address - Street 1:723 MAIN ST
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:TX
Practice Address - Zip Code:77575-4813
Practice Address - Country:US
Practice Address - Phone:832-331-8438
Practice Address - Fax:281-873-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2511207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty