Afaha M Asangansi

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

161161801 Issued in TX

Legal business name

AFAHA M ASANGANSI

Practice address

7524 S Broadway Ave
Ste120
Tyler, TX 75703-5007

Phone

(903) 509-3987

Fax

(903) 509-9428

NPI assigned

Aug 9, 2005

Last updated

Aug 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Afaha Matthew Asangansi

Title

Owner Operator

Phone

(903) 509-3987

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1194726455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7524 S BROADWAY AVE",
            "address_2": "SUITE 120",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035007",
            "telephone_number": "903-509-3987",
            "fax_number": "903-509-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7524 S BROADWAY AVE",
            "address_2": "STE120",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035007",
            "telephone_number": "903-509-3987",
            "fax_number": "903-509-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFAHA M ASANGANSI",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "ASANGANSI",
        "authorized_official_first_name": "AFAHA",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "903-509-3987",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "161161801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.