Individual ProviderMariam AsperFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address903 W Martin St # Ms 49-2, San Antonio, TX 78207-0903(201) 358-3650(210) 358-5909PECOS EnrollmentBased on the most recent information from CMS, provider Mariam Asper is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1144843319Provider TypeIndividualFull NameAsper, MariamCredentialDOGenderFemaleSole ProprietorNoEnumeration Date5/22/2020Last Updated11/15/2024Contact InformationPractice LocationPractice Address903 W Martin St # Ms 49-2, San Antonio, TX 78207-0903Phone(201) 358-3650Fax(210) 358-3799Mailing LocationMailing Address903 W Martin St # Ms 49-2, San Antonio, TX 78207-0903Phone(210) 358-5909Fax(210) 358-5940Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseV2433Texas