Individual
HASANA O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00135000
NJ
363A00000X
Physician Assistant
Primary
PA11431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-3052989
TAX ID # 22-3052989
NJ
05
—
378916601
—
TX
01
—
378916602
OTHER (MEDICAID CSHCN)
TX
Enumeration date
10/13/2006
Last updated
03/07/2018
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