Individual
MOHAMMED HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4909 NE 28TH ST, HALTOM CITY, TX 76117-4412
(817) 831-3237
Mailing address
4909 NE 28TH ST, FORT WORTH, TX 76117-4412
(817) 831-3237
(817) 831-3235
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/13/2015
Last updated
06/13/2015
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