MEDICARE: DR. SYED ASAD HASAN DDS

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	1223G0001X	General Practice Dentistry	19263	TX

General Provider Information

NPI Number	:	1609809482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYED ASAD HASAN DDS

Provider Business Mailing Address
First Line	:	5773 WOODWAY DR.
Second Line	:	#187
City	:	HOUSTON
State	:	TX
Zip	:	77057
Country	:	US
Telephone Number	:	832-607-8924
Fax Number	:

Provider Business Practice Location Address
First Line	:	7575 SAN FELIPE ST
Second Line	:	#300
City	:	HOUSTON
State	:	TX
Zip	:	77063-1711
Country	:	US
Telephone Number	:	713-782-2234
Fax Number	:

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	08/27/2007

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