Provider Demographics
NPI:1720652498
Name:HASBUN, ROSITA (FNP)
Entity Type:Individual
Prefix:
First Name:ROSITA
Middle Name:
Last Name:HASBUN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:ROSITA
Other - Middle Name:
Other - Last Name:HASBUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:2400 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3391
Mailing Address - Country:US
Mailing Address - Phone:956-458-4830
Mailing Address - Fax:
Practice Address - Street 1:1500 S BRYAN RD
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6672
Practice Address - Country:US
Practice Address - Phone:956-580-3100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1033620363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty