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NPI Code Detail

MEDICARE: MICHAEL JAY HAHN MPAS

MEDICARE: MICHAEL JAY HAHN MPAS
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
1363A00000XPhysician AssistantPA02557TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA02557OTHERTXPHYSICIAN ASSISTANTS

General Provider Information

NPI Number : 1225059033
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JAY HAHN MPAS
Provider Business Mailing Address
First Line : 901 E HACKBERRY AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78501-6502
Country : US
Telephone Number : 956-618-7100
Fax Number :
Provider Business Practice Location Address
First Line : 901 E HACKBERRY AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78501-6502
Country : US
Telephone Number : 956-618-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 09/30/2016

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