Provider Demographics
NPI:1669952990
Name:ASKEW, PRISCILLA ANN (NDTR)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:ANN
Last Name:ASKEW
Suffix:
Gender:F
Credentials:NDTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 ROXBORO RD
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-4055
Mailing Address - Country:US
Mailing Address - Phone:214-415-6444
Mailing Address - Fax:
Practice Address - Street 1:3025 ROXBORO RD
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-4055
Practice Address - Country:US
Practice Address - Phone:214-415-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-16
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86072879136A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes136A00000XDietary & Nutritional Service ProvidersDietetic Technician, Registered