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NPI Code Detail

MEDICARE: DR. FARRELL D HASS MD

MEDICARE: DR. FARRELL D HASS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianC7282AR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3050090473OTHERRR MEDICARE GROUP CK6327

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
252071OTHERARAR BCBS

General Provider Information

NPI Number : 1073508263
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FARRELL D HASS MD
Provider Business Mailing Address
First Line : PO BOX 22390
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71903-2390
Country : US
Telephone Number : 877-649-7812
Fax Number : 918-392-2941
Provider Business Practice Location Address
First Line : 1910 MALVERN AVE
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71901-7752
Country : US
Telephone Number : 501-321-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 11/22/2016

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Directions to “ DR. FARRELL D HASS MD” Practice Location

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