Individual
HASMIN BANZUELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390-7200
(214) 648-1701
Mailing address
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390-7200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17515
TX
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/07/2023
Last updated
06/25/2024
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