Provider Demographics
NPI:1144260217
Name:ALI, ASRA (MD)
Entity type:Individual
Prefix:
First Name:ASRA
Middle Name:
Last Name:ALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9225 KATY FWY STE 404
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1531
Mailing Address - Country:US
Mailing Address - Phone:832-572-5533
Mailing Address - Fax:832-975-0336
Practice Address - Street 1:9225 KATY FWY STE 404
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1531
Practice Address - Country:US
Practice Address - Phone:832-572-5533
Practice Address - Fax:832-975-0336
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5442207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8MV745OtherBCBS TX
TX8B8800OtherBCBSTX
TX8J9635OtherBCBSTX
TX070015911OtherRAILROAD MEDICARE
TX8J9635OtherBCBSTX
TX8B8800OtherBCBSTX
TX8J8641Medicare PIN
TX87953NMedicare PIN
TX8J8640Medicare PIN