Provider Demographics
NPI:1508068677
Name:HASSAN, MONIQUE ONIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:ONIKA
Last Name:HASSAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MONIQUE
Other - Middle Name:ONIKA
Other - Last Name:HOPKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:800-994-0371
Mailing Address - Fax:
Practice Address - Street 1:2401 S 31ST ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76508-4472
Practice Address - Country:US
Practice Address - Phone:254-724-5265
Practice Address - Fax:254-724-5473
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR9076208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery