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Individual

MARK HASSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3851 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER, FORT SAM HOUSTON, TX 78234-4501
(210) 221-5212
(270) 956-0180
Mailing address
3851 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER, FORT SAM HOUSTON, TX 78234-4501
(210) 221-5212
(270) 956-0180

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0000012787
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VAD000
UPIN
TN
Enumeration date
09/24/2007
Last updated
10/08/2010
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