Healthcare Provider Details

I. General information

NPI: 1982208443
Provider Name (Legal Business Name): ABSOLUTE IOM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2020
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5222 SPRUCE ST
BELLAIRE TX
77401-3311
US

IV. Provider business mailing address

5222 SPRUCE ST
BELLAIRE TX
77401-3311
US

V. Phone/Fax

Practice location:
  • Phone: 972-412-5299
  • Fax: 469-453-3374
Mailing address:
  • Phone: 972-412-5299
  • Fax: 469-453-3374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204R00000X
TaxonomyElectrodiagnostic Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BRYAN C HASSE
Title or Position: MANAGER
Credential: APRN CNP
Phone: 713-255-5097