Provider Demographics
NPI:1891323903
Name:ASAD, USMAN (MD)
Entity type:Individual
Prefix:
First Name:USMAN
Middle Name:
Last Name:ASAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:USMAN
Other - Middle Name:
Other - Last Name:ASAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1600 W COLLEGE ST STE LL40
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3578
Mailing Address - Country:US
Mailing Address - Phone:214-337-6362
Mailing Address - Fax:214-337-6329
Practice Address - Street 1:1600 W COLLEGE ST STE LL40
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3578
Practice Address - Country:US
Practice Address - Phone:214-337-6362
Practice Address - Fax:214-337-6329
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU9820207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology