Basic Information
Provider Information
NPI: 1790941052
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HASSAN
FirstName: AMEER
MiddleName: ELSAYED
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2121 PEASE ST
Address2: SUITE 1D
City: HARLINGEN
State: TX
PostalCode: 785508348
CountryCode: US
TelephoneNumber: 9563894060
FaxNumber: 9563893567
Practice Location
Address1: 2121 PEASE ST
Address2: SUITE 1D
City: HARLINGEN
State: TX
PostalCode: 785508348
CountryCode: US
TelephoneNumber: 9563894060
FaxNumber: 9563893567
Other Information
ProviderEnumerationDate: 08/05/2008
LastUpdateDate: 07/11/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084V0102XP2455TXY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology

No ID Information.


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