Provider Demographics
NPI:1174519136
Name:ASGHAR, PAMELA (MD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:
Last Name:ASGHAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:ASGHAR
Other - Suffix:IX
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5407 LOWRIE RD
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-3412
Mailing Address - Country:US
Mailing Address - Phone:817-283-4438
Mailing Address - Fax:817-283-1792
Practice Address - Street 1:350 WESTPARK WAY STE 223
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-3758
Practice Address - Country:US
Practice Address - Phone:817-283-4438
Practice Address - Fax:817-283-1792
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-26
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82995207V00000X
TXM2543207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL258996600Medicaid
FL03361ZMedicare ID - Type Unspecified
TX8F6764Medicare PIN