Provider Demographics
NPI:1982401048
Name:ASENCIO, ASHLEY (MFN,RDN,LD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:ASENCIO
Suffix:
Gender:
Credentials:MFN,RDN,LD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:DENISE
Other - Last Name:ASENCIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:929 GESSNER RD STE 2440
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2840
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:929 GESSNER RD STE 2440
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2840
Practice Address - Country:US
Practice Address - Phone:714-486-1330
Practice Address - Fax:713-871-0081
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT90756133VN1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management