Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 36506 | TX |
NPI | 1013388107 |
---|---|
Provider Name | Abdullahi Hassan |
First Address | Houston, TX 77030-2753 |
Second Address | Houston, TX 77030-2753 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2015 |
Last Update Date | 14/09/2021 |