Provider Demographics
NPI:1396622627
Name:ALPHA GI PATHOLOGY PLLC
Entity type:Organization
Organization Name:ALPHA GI PATHOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ASIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-626-1864
Mailing Address - Street 1:902 PRESKITT RD STE 300
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-4124
Mailing Address - Country:US
Mailing Address - Phone:940-626-1864
Mailing Address - Fax:940-626-1865
Practice Address - Street 1:902 PRESKITT RD STE 300
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-4124
Practice Address - Country:US
Practice Address - Phone:940-626-1864
Practice Address - Fax:940-626-1865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic PathologyGroup - Single Specialty