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NPI Code Detail

MEDICARE: DR. MOHAMMAD HASSAN ALSUMRAIN M.D

MEDICARE: DR. MOHAMMAD HASSAN ALSUMRAIN M.D
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
1207RP1001XPulmonary Disease PhysicianT4879TX

General Provider Information

NPI Number : 1639327885
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD HASSAN ALSUMRAIN M.D
Provider Business Mailing Address
First Line : 1301 W 38TH ST STE 400
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1017
Country : US
Telephone Number : 512-324-3340
Fax Number : 512-324-3341
Provider Business Practice Location Address
First Line : 1301 W 38TH ST STE 400
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1017
Country : US
Telephone Number : 512-324-3340
Fax Number : 512-324-3341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2008
Last Update Date : 06/27/2023

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