Healthcare Provider Details

I. General information

NPI: 1750450342
Provider Name (Legal Business Name): SYED W. HASAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 W MEDICAL CENTER BLVD STE 304
WEBSTER TX
77598-4009
US

IV. Provider business mailing address

PO BOX 58538
WEBSTER TX
77598-8538
US

V. Phone/Fax

Practice location:
  • Phone: 281-724-8336
  • Fax:
Mailing address:
  • Phone: 832-554-1005
  • Fax: 832-742-0455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberM2972
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD431253
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: