Provider Demographics
NPI:1447256557
Name:ASASE, DANILO K (MD)
Entity type:Individual
Prefix:
First Name:DANILO
Middle Name:K
Last Name:ASASE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5505 S EXPRESSWAY 77 STE 305
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550
Mailing Address - Country:US
Mailing Address - Phone:956-428-6871
Mailing Address - Fax:956-364-1278
Practice Address - Street 1:5505 S EXPRESSWAY 77
Practice Address - Street 2:STE. 305
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-3214
Practice Address - Country:US
Practice Address - Phone:956-428-6871
Practice Address - Fax:956-364-1278
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ9955208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX89915501Medicaid
TXF62318Medicare UPIN
TX89915501Medicare ID - Type Unspecified