Individual
DR. AHMED HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3308 MARKSBURG, ODESSA, TX 79765-8953
(325) 763-8473
Mailing address
3308 MARKSBURG, ODESSA, TX 79765-8953
(325) 763-8473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M2639
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177415001
—
TX
01
—
8P1405
BLUE CROSS
TX
Enumeration date
04/06/2006
Last updated
08/05/2014
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