Myrna C de Asis MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K4405 Issued in TX

Legal business name

MYRNA C DE ASIS MD PA

Practice address

1819 Tenth St
Wichita Falls, TX 76301-5012

Phone

(940) 763-8077

NPI assigned

Oct 4, 2006

Last updated

Sep 1, 2010By 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

Oscar Desnacido De Asis

Title

Vice-President, Office Manager

Phone

(940) 763-8077

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Myrna Catalan De Asis, M.D.

  • Internal Medicine Physician
  • Wichita Falls, TX
  • NPI 1043214406
  Medicare reassignment NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1952496929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4710",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76308",
            "telephone_number": "940-763-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 TENTH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015012",
            "telephone_number": "940-763-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRNA C DE ASIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "DE ASIS",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "DESNACIDO",
        "authorized_official_title_or_position": "VICE-PRESIDENT, OFFICE MANAGER",
        "authorized_official_telephone_number": "940-763-8077"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164418901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0942509",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mulewa Mutinda, LP
• Alan Scott Myers, MD
• Amanda Renee Myers
• Jerry K Myers, MD
• Julia Lee Myers
• Stephanie Angel Nader, RBT
• Shehzadi Ghazala Nagra, MD
• Larissa Naim, FNP-C
• Prajakta Ganesh Nair
• National Vision Inc (America's Best Contacts & Eyeglasses)

• Internal Medicine Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.