Provider Demographics
NPI:1982646675
Name:ALHASSAN, ABDUL-AZIZ (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDUL-AZIZ
Middle Name:
Last Name:ALHASSAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ABDUL-AZIZ
Other - Middle Name:
Other - Last Name:ALHASSAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 420961
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77242-0961
Mailing Address - Country:US
Mailing Address - Phone:713-771-5572
Mailing Address - Fax:713-771-5514
Practice Address - Street 1:10039 BISSONNET ST STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7840
Practice Address - Country:US
Practice Address - Phone:713-771-5572
Practice Address - Fax:713-771-5514
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6794207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146365501Medicaid
TX00721RMedicare PIN
TX146365501Medicaid