NPI Registry.org

Asta Life Healthcare Services Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
ASTA LIFE HEALTHCARE SERVICES LLC12054381162020-11-15
Entity TypeOrganization
Provider OrganizationASTA LIFE HEALTHCARE SERVICES LLC
Practice Office Address27707 ROCKY CREEK CT
FULSHEAR, TX US
Practice Office Telephone8326381954
Mailing Address27707 ROCKY CREEK CT
FULSHEAR, TX 774411113 US
Business Telephone8326381954
Authorized OfficialANDRE ABRAHAM, CEO
8326381954
HPT Codes
CodeLicense NoState
101YM0800X PRIMARY
193200000X MULTGroup Code
OPI Codes
U6752006601 OTHER TX CIGNA
Governmental Registrations [CAGE/NCAGE/DUNS]

© 2020 NPIRegistry.org | Contact | Privacy Policy
45 CFR Part 162