Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | A98792 | CA |
NPI | 1396872107 |
---|---|
Provider Name | Hany Morcos Nasr |
First Address | Visalia, CA 93278-3500 |
Second Address | Visalia, CA 93277-2631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 19/05/2011 |