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Individual

AMBER HASSAN-HUSSEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
923 COLLEGE AVE STE 103, FORT WORTH, TX 76104-3051
(972) 544-6600
Mailing address
PO BOX 271600, FLOWER MOUND, TX 75027-1600

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12886
TX
363AM0700X
Medical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023495702
NPI GROUP
TX
Enumeration date
07/10/2019
Last updated
09/03/2024
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