Basic Information
Provider Information
NPI: 1205867504
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASHE
FirstName: HERBERT
MiddleName: JOHN
NamePrefix:  
NameSuffix: JR.
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11511 SHADOW CREEK PKWY
Address2:  
City: PEARLAND
State: TX
PostalCode: 775847298
CountryCode: US
TelephoneNumber: 7134420000
FaxNumber:  
Practice Location
Address1: 2727 W HOLCOMBE BLVD
Address2:  
City: HOUSTON
State: TX
PostalCode: 770251669
CountryCode: US
TelephoneNumber: 7134420000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/05/2006
LastUpdateDate: 02/02/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000XG8667TXY Allopathic & Osteopathic PhysiciansOtolaryngology 

ID Information
IDTypeStateIssuerDescription
03766000605TX MEDICAID
03766000105TX MEDICAID
03766000505TX MEDICAID


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