Provider Demographics
NPI:1740816974
Name:BHOJWANI, HASIB H (MD)
Entity type:Individual
Prefix:DR
First Name:HASIB
Middle Name:H
Last Name:BHOJWANI
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:PO BOX 534
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-0534
Mailing Address - Country:US
Mailing Address - Phone:469-844-5208
Mailing Address - Fax:
Practice Address - Street 1:8055 FM 359 RD S
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-0534
Practice Address - Country:US
Practice Address - Phone:469-844-5208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare