Individual
HANEEN MARJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 567-6418
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 567-6418
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
S8071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425344501
—
TX
01
—
425344502
CSHCN
TX
Enumeration date
04/17/2018
Last updated
04/12/2022
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