Individual provider Active NPI

Asoh Mbeh Mabo, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1013558808
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142377 Issued in TX
Practice address
5707 Black Drum
San Antonio, TX 78253-6398
Phone
(210) 427-0509
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142377 TX Primary

Addresses

Primary practice location

5707 Black Drum
San Antonio, TX 78253-6398

Mailing address

5707 Black Drum
San Antonio, TX 78253-6398
Phone (210) 427-0509

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asoh_mabo@yahoo.co.uk Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191031001647 TX Practitioner - Nurse Practitioner 4183956774 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Current Accepting new patients
A&J Health Services LLC CurrentSince May 31, 2020 Accepting new patients
Talno Medical,PLLC CurrentSince Apr 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 1, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 1, 2025 Accepting new patients
Harmonycares Complete Health Services, PLLC CurrentSince Sep 16, 2025 Accepting new patients
Molina Care Connections, LLC. CurrentSince Sep 23, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Oct 1, 2019 Accepting new patients

Locations

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

12790 FM 1560 N
Unit 1184
Helotes, TX 78023
Phone (210) 379-1501

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (972) 536-7265

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

8550 Huebner Rd
San Antonio, TX 78240
Phone (210) 229-9085

6035 Eckhert Rd
San Antonio, TX 78240
Phone (210) 642-5300

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1013558808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 BLACK DRUM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536398",
            "telephone_number": "210-427-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 BLACK DRUM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536398",
            "telephone_number": "210-427-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABO",
        "first_name": "ASOH",
        "middle_name": "MBEH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asoh_mabo@yahoo.co.uk",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5707 Black Drum",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782536398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.