Individual
HANEEN ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12319 N MOPAC EXPY STE 100, AUSTIN, TX 78758-2486
(832) 231-8361
Mailing address
PO BOX 746768, ATLANTA, GA 30374-6768
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA15972
TX
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
06/13/2025
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