Afaha M Asangansi

NPI #1194726455 in Tyler, Texas

Provider Information

NPI Number
1194726455
Entity Type
Organization
Organization Name
Afaha M Asangansi
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Aug 9, 2005
Last Updated
Aug 3, 2011

Practice Location

Address
7524 S BROADWAY AVE
Address 2
STE120
City
Tyler
State
Texas
ZIP Code
75703-5007
Phone
(903) 509-3987

Authorized Official

Name
MR. AFAHA MATTHEW ASANGANSI
Title
OWNER OPERATOR
Phone
(903) 509-3987

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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