Individual
HASSAN M ALISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1340 WONDER WORLD DR, BLDG.2, SUITE 2203, SAN MARCOS, TX 78666-7598
(512) 667-7123
(512) 667-7328
Mailing address
1340 WONDER WORLD DR, BLDG.2, SUITE 2203, SAN MARCOS, TX 78666-7598
(512) 667-7123
(512) 667-7328
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
2000160315
MO
207RR0500X
Rheumatology Physician
M7820
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152268
BCBS
—
05
—
205333818
—
MO
01
—
P00152821
RAILROAD MEDICARE
—
Enumeration date
06/06/2006
Last updated
02/14/2014
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