Provider Demographics
NPI:1689181455
Name:ASB DOCTORS ALLIANCE INC
Entity Type:Organization
Organization Name:ASB DOCTORS ALLIANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASABI
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-908-8725
Mailing Address - Street 1:10935 ESTATE LN STE S106
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-2316
Mailing Address - Country:US
Mailing Address - Phone:214-908-8725
Mailing Address - Fax:
Practice Address - Street 1:10935 ESTATE LN STE S106
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2316
Practice Address - Country:US
Practice Address - Phone:214-908-8725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-03
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty