Provider Demographics
NPI:1841803632
Name:HASAN, SYED NABEEL (OD)
Entity Type:Individual
Prefix:
First Name:SYED NABEEL
Middle Name:
Last Name:HASAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2503 HAMPTON PARK LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1258
Mailing Address - Country:US
Mailing Address - Phone:281-935-0048
Mailing Address - Fax:
Practice Address - Street 1:15900 LA CANTERA PKWY STE 6697
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78256-2428
Practice Address - Country:US
Practice Address - Phone:210-694-4110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009718152W00000X
TX9997152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist