Individual
ALI HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5000
Mailing address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
S5918
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
S5918
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2016
Last updated
06/29/2023
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