Healthcare Provider Details

I. General information

NPI: 1346947306
Provider Name (Legal Business Name): FIRAS AL-HASSAN DCLS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2023
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22219 FALVEL DR
SPRING TX
77389-4733
US

IV. Provider business mailing address

PO BOX 7026
SPRING TX
77387-7026
US

V. Phone/Fax

Practice location:
  • Phone: 817-860-3000
  • Fax:
Mailing address:
  • Phone: 817-860-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: