Provider Demographics
NPI:1457860769
Name:YASIN, HASAN (MD)
Entity type:Individual
Prefix:DR
First Name:HASAN
Middle Name:
Last Name:YASIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1914 52ND ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77551-5101
Mailing Address - Country:US
Mailing Address - Phone:281-943-9932
Mailing Address - Fax:
Practice Address - Street 1:6710 STEWART RD STE 100
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77551-2216
Practice Address - Country:US
Practice Address - Phone:409-744-4030
Practice Address - Fax:409-740-4187
Is Sole Proprietor?:No
Enumeration Date:2017-09-29
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXU6367207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program