Provider Demographics
NPI:1255639589
Name:DATHAN ASHER INC
Entity type:Organization
Organization Name:DATHAN ASHER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SELEXMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-570-3604
Mailing Address - Street 1:17300 EL CAMINO REAL
Mailing Address - Street 2:SUITE 110C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2715
Mailing Address - Country:US
Mailing Address - Phone:281-506-2808
Mailing Address - Fax:866-602-5210
Practice Address - Street 1:17300 EL CAMINO REAL
Practice Address - Street 2:SUITE 110C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2715
Practice Address - Country:US
Practice Address - Phone:281-506-2808
Practice Address - Fax:866-602-5210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X
TX1000546341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000546OtherTDSHS