Provider Demographics
NPI:1912389370
Name:ADAMS, ASHA (DO)
Entity Type:Individual
Prefix:DR
First Name:ASHA
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3902
Mailing Address - Country:US
Mailing Address - Phone:817-877-5292
Mailing Address - Fax:
Practice Address - Street 1:4521 MEDICAL CENTER DR STE 500
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-6862
Practice Address - Country:US
Practice Address - Phone:972-562-8383
Practice Address - Fax:972-548-8388
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-22
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10053242207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine