Individual
MOHAMAD HASSAN FAKHREDDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7979 WURZBACH RD FL 2, SAN ANTONIO, TX 78229
(210) 450-1016
(210) 616-5613
Mailing address
7703 FLOYD CURL DR # MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
R6183
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384757601
—
TX
01
—
384757602
CSHCN
TX
Enumeration date
04/09/2013
Last updated
07/17/2018
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