Individual
WAGDY HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
29253 US HIGHWAY 19 N, CLEARWATER, FL 33761-2102
(713) 779-9800
(713) 779-9862
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(832) 804-8702
(832) 804-8702
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3076
VA
246ZS0410X
Surgical Technologist
3076
VA
Other
Enumeration date
01/26/2010
Last updated
08/05/2020
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