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Individual

HASAN AL-AZZAWI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4401 GARTH RD, BAYTOWN, TX 77521
(281) 420-8415
Mailing address
4401 GARTH RD, BAYTOWN, TX 77521-2122
(281) 420-8415

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036134872
IL
207R00000X
Internal Medicine Physician
R3466
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
R3466
TX
207RP1001X
Pulmonary Disease Physician
R3466
TX
208M00000X
Hospitalist Physician
036134872
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
372919601
TX
Enumeration date
04/14/2014
Last updated
08/15/2018
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