Individual
AL HASAN MAKKOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1.050307
CT
2085R0202X
Diagnostic Radiology Physician
Primary
R1077
TX
Other
Enumeration date
04/23/2008
Last updated
01/27/2022
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