Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | E-13821 | AR |
N | 207RH0003X | Hematology & Oncology | L8633 | TX |
NPI | 1053546473 |
---|---|
Provider Name | Saira M Hassan |
First Address | Little Rock, AR 72205-7199 |
Second Address | Garland, TX 75042-6682 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2009 |
Last Update Date | 21/10/2021 |