Individual
SAMAN M. HASSIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
L4430
TX
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
L4430
TX
2085N0700X
Neuroradiology Physician
L4430
TX
2085R0202X
Diagnostic Radiology Physician
Primary
L4430
TX
2085U0001X
Diagnostic Ultrasound Physician
L4430
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156794304
—
TX
Enumeration date
03/29/2006
Last updated
01/12/2015
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