Individual
AGEENA HASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102780 US HIGHWAY 59, SALLISAW, OK 74955-4033
(918) 571-6281
Mailing address
102780 US HIGHWAY 59, FORT SMITH, OK 72916-7019
(660) 281-0018
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
8065
OK
Other
Enumeration date
04/05/2022
Last updated
07/22/2025
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