# HASANA O'NEAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912097601
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 25MP00135000 | NJ | — |
| 363A00000X | Physician Assistant | PA11431 | TX | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 03/07/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 22-3052989 | TAX ID \# 22-3052989 | NJ |
| 05 | — | 378916601 | — | TX |
| 01 | — | 378916602 | OTHER (MEDICAID CSHCN) | TX |