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Individual

MOSAAB A. HASAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
497 10TH ST. STE. 105, FLORESVILLE, TX 78114
(830) 393-1363
(830) 393-1366
Mailing address
499 10TH ST., FLORESVILLE, TX 78114
(830) 393-1300
(830) 393-1301

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01070750A
IN
207RG0100X
Gastroenterology Physician
Primary
K6792
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201068010
IN
Enumeration date
08/14/2006
Last updated
02/08/2018
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