Healthcare Provider Details

I. General information

NPI: 1578470118
Provider Name (Legal Business Name): HASINAI DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4960 RILEY FUZZEL RD SUITE 100
SPRING TX
77386
US

IV. Provider business mailing address

501 S FRIENDSWOOD DR STE 105
FRIENDSWOOD TX
77546-4695
US

V. Phone/Fax

Practice location:
  • Phone: 346-382-4350
  • Fax: 346-382-4351
Mailing address:
  • Phone: 281-816-3040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: JACKIE MARTINEZ
Title or Position: VP OF OPERATIONS
Credential:
Phone: 281-703-9468