Provider Demographics
NPI:1376681270
Name:HASSAN, LUANN (MD)
Entity Type:Individual
Prefix:
First Name:LUANN
Middle Name:
Last Name:HASSAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 TAMPICO ST
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062
Mailing Address - Country:US
Mailing Address - Phone:972-989-2385
Mailing Address - Fax:
Practice Address - Street 1:4461 COIT RD STE 205
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-0524
Practice Address - Country:US
Practice Address - Phone:972-817-1249
Practice Address - Fax:972-817-1289
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4195207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology