Individual
HITOMI SASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1650 W. COLLEGE STREET, BOX # 54, GRAPEVINE, TX 76051-3565
(817) 388-3600
(817) 388-3610
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 388-3610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08854
TX
Other
Enumeration date
03/10/2014
Last updated
03/20/2017
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