Individual provider · NPI-1

Hassan M Alissa, MD

Internal Medicine, Rheumatology · San Marcos, TX

NPI number1770522633
StatusActive
Last updated in NPPESFeb 14, 2014

Details

NPI
1770522633
Entity type
Individual (NPI-1)
Name
Hassan M Alissa
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 6, 2006
Last updated
Feb 14, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RR0500X Internal Medicine, Rheumatology2000160315MOYes
207RR0500X Internal Medicine, RheumatologyM7820TX

Practice location

1340 Wonder World Dr
Bldg.2, Suite 2203
San Marcos, TX 78666-7598

Phone 512-667-7123 · Fax 512-667-7328

Mailing address

1340 Wonder World Dr
Bldg.2, Suite 2203
San Marcos, TX 78666-7598

Phone 512-667-7123 · Fax 512-667-7328

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