Provider Demographics
NPI:1205177326
Name:CONSULTING MEDICAL SERVICES OF DENTON, PLLC
Entity type:Organization
Organization Name:CONSULTING MEDICAL SERVICES OF DENTON, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ASIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-230-8280
Mailing Address - Street 1:624 W UNIVERSITY DR
Mailing Address - Street 2:SUITE 287
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-1889
Mailing Address - Country:US
Mailing Address - Phone:940-230-8280
Mailing Address - Fax:
Practice Address - Street 1:624 W UNIVERSITY DR
Practice Address - Street 2:SUITE 287
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-1889
Practice Address - Country:US
Practice Address - Phone:940-230-8280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4264174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty