MEDICARE: KYLIA JO HASSETT

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
1	124Q00000X	Dental Hygienist	28063	TX

General Provider Information

NPI Number	:	1457218950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLIA JO HASSETT

Provider Business Mailing Address
First Line	:	3145 GARDEN AVE STE 1278
Second Line	:
City	:	JBSA FT SAM HOUSTON
State	:	TX
Zip	:	78234-7719
Country	:	US
Telephone Number	:	210-808-3735
Fax Number	:

Provider Business Practice Location Address
First Line	:	3145 GARDEN AVE STE 1278
Second Line	:
City	:	JBSA FT SAM HOUSTON
State	:	TX
Zip	:	78234-7719
Country	:	US
Telephone Number	:	210-808-3735
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “ KYLIA JO HASSETT ” Practice Location

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