Basic Information
Provider Information
NPI: 1659381358
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HASSON
FirstName: NEWTON
MiddleName: EARL
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4310 JAMES CASEY ST
Address2: STE 3C
City: AUSTIN
State: TX
PostalCode: 787451251
CountryCode: US
TelephoneNumber: 5123262800
FaxNumber: 5124416388
Practice Location
Address1: 4310 JAMES CASEY ST
Address2: STE 3C
City: AUSTIN
State: TX
PostalCode: 787451251
CountryCode: US
TelephoneNumber: 5123262800
FaxNumber: 5124416388
Other Information
ProviderEnumerationDate: 08/08/2006
LastUpdateDate: 03/04/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XG2720TXN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XX0005XG2720TXY Allopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine

No ID Information.


Home