Provider Demographics
NPI:1659334100
Name:HASBUN, RODRIGO (MD, MPH)
Entity Type:Individual
Prefix:
First Name:RODRIGO
Middle Name:
Last Name:HASBUN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5227 MIMOSA DR
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4839
Mailing Address - Country:US
Mailing Address - Phone:713-349-9929
Mailing Address - Fax:
Practice Address - Street 1:6431 FANNIN ST
Practice Address - Street 2:2.112 MSB
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-7140
Practice Address - Fax:713-500-5495
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2108207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8H0384OtherBLUE CROSS BLUE SHIELD
TX201738601Medicaid
TX201738601Medicaid
F89684Medicare UPIN