Provider Demographics
NPI:1548515430
Name:HADSELL, ASA (DC)
Entity type:Individual
Prefix:DR
First Name:ASA
Middle Name:
Last Name:HADSELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 HWY 80 E
Mailing Address - Street 2:STE 10
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-5712
Mailing Address - Country:US
Mailing Address - Phone:214-600-4336
Mailing Address - Fax:
Practice Address - Street 1:1331 HWY 80 E
Practice Address - Street 2:STE 10
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-5712
Practice Address - Country:US
Practice Address - Phone:214-600-4336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12080111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor