Provider Demographics
NPI:1598062945
Name:GEHA, HASSEM (DDS, MDS)
Entity Type:Individual
Prefix:DR
First Name:HASSEM
Middle Name:
Last Name:GEHA
Suffix:
Gender:M
Credentials:DDS, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:UTHSCSA, DEPARTMENT OF COMPREHENSIVE DENTISTRY
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-567-3349
Mailing Address - Fax:210-567-3334
Practice Address - Street 1:7703 FLOYD CURL DR
Practice Address - Street 2:UTHSCSA, DEPARTMENT OF COMPREHENSIVE DENTISTRY
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-567-3349
Practice Address - Fax:210-567-3334
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF-262591223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology