Provider Demographics
NPI:1508112582
Name:ASKARI, NASSER DEAN (DO)
Entity type:Individual
Prefix:DR
First Name:NASSER
Middle Name:DEAN
Last Name:ASKARI
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 MATLOCK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6564
Mailing Address - Country:US
Mailing Address - Phone:817-539-0770
Mailing Address - Fax:
Practice Address - Street 1:1001 MATLOCK RD STE 101
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-6564
Practice Address - Country:US
Practice Address - Phone:817-539-0770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ6492208000000X, 207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX363358802Medicaid
TX363358803Medicaid
TX531969YNGSMedicare PIN