| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ADJOA KWATEMAA ASARE | 1528584794 | 2022-06-26 |
Adjoa Kwatemaa Asare [F] graduated in 2017 and primarily specializes in Nurse Practitioner.
Adjoa Kwatemaa Asare is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1528584794. Registration indicates Adjoa Kwatemaa Asare is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 7315298585 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Ms. Adjoa Kwatemaa Asare FNP-C |
| Practice Office Address | 2485 E SOUTHLAKE BLVD STE 100 SOUTHLAKE, TX US |
| Practice Office Telephone | 8178730595 |
| Mailing Address | 16515 LEXINGTON BLVD SUGAR LAND, TX 774792310 US |
| Business Telephone | 2819806666 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2432 Avondale Haslet Rd Ste 100 | Haslet, TX 760523446 | 8175009636 / 8174398107 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AP134920
TX |
| 8KA969 | OTHER | TX | BCBSTX |
| 393342601 | MEDICAID | TX |