Provider Demographics
NPI:1770295263
Name:ASGHARI, SASCHA ELISE (LHR PROFESSIONAL TEC)
Entity type:Individual
Prefix:
First Name:SASCHA
Middle Name:ELISE
Last Name:ASGHARI
Suffix:
Gender:F
Credentials:LHR PROFESSIONAL TEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1513 W. KOENIG LANE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756
Mailing Address - Country:US
Mailing Address - Phone:512-459-6353
Mailing Address - Fax:
Practice Address - Street 1:1513 W. KOENIG LANE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756
Practice Address - Country:US
Practice Address - Phone:512-459-6353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXZP13908207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology