Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QS0010X | Family Doctor - Sports Medicine | 27644 | AL |
Y | 207QS0010X | Family Doctor - Sports Medicine | P1649 | TX |
NPI | 1265534465 |
---|---|
Provider Name | Syed Naved Hasan |
First Address | Pasadena, TX 77502-1120 |
Second Address | Pasadena, TX 77502-1120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 12/10/2012 |