# JEAN-MICHEL, HASSAN, MD SOUTHWEST CLINIC INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHWEST CLINIC INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487779922
- **Authorized official:** DR. JEAN MICHEL HASSAN MD (PHYSICIAN OWNER)
- **Authorized official phone:** (620) 626-4368

## Contact information

- **Practice address:** 555 W 15TH ST STE D, LIBERAL, KS 67901-2468
- **Practice address phone:** (620) 626-4368
- **Practice address fax:** (620) 626-7370
- **Mailing address:** 555 W 15TH ST STE D, LIBERAL, KS 67901-2468
- **Mailing address phone:** (620) 626-4368
- **Mailing address fax:** (620) 626-7370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 0431410 | KS | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 02/13/2008