Provider Demographics
NPI:1356836779
Name:HASSAN, HASSANAT (NP)
Entity Type:Individual
Prefix:
First Name:HASSANAT
Middle Name:
Last Name:HASSAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:HASSANAT
Other - Middle Name:
Other - Last Name:HASSAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:8123 BARNES RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-0105
Mailing Address - Country:US
Mailing Address - Phone:713-517-1661
Mailing Address - Fax:
Practice Address - Street 1:8123 BARNES RIDGE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-0105
Practice Address - Country:US
Practice Address - Phone:713-517-1661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137690363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX$$$$$$$$$OtherAGNP