MEDICARE: DR. NEWTON EARL HASSON 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
1	207X00000X	Orthopaedic Surgery Physician	G2720	TX
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	G2720	TX

General Provider Information

NPI Number	:	1659381358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEWTON EARL HASSON MD

Provider Business Mailing Address
First Line	:	4310 JAMES CASEY ST
Second Line	:	STE 3C
City	:	AUSTIN
State	:	TX
Zip	:	78745-1251
Country	:	US
Telephone Number	:	512-326-2800
Fax Number	:	512-441-6388

Provider Business Practice Location Address
First Line	:	4310 JAMES CASEY ST
Second Line	:	STE 3C
City	:	AUSTIN
State	:	TX
Zip	:	78745-1251
Country	:	US
Telephone Number	:	512-326-2800
Fax Number	:	512-441-6388

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	03/04/2016

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