Organization · NPI-2
Arthritis Clinic Of Central Texas
Internal Medicine, Rheumatology · San Marcos, TX
NPI number1801132048
StatusActive
Last updated in NPPESOct 22, 2013
Details
- NPI
- 1801132048
- Entity type
- Organization (NPI-2)
- Legal business name
- Arthritis Clinic Of Central Texas
- Organization subpart
- No
- Enumeration date
- Dec 17, 2012
- Last updated
- Oct 22, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | M7820 | TX | Yes |
| 207RR0500X | Internal Medicine, Rheumatology | M7829 | TX |
Other names
- Hassan Alissa Sole Mbr (Doing Business As)
Practice location
1340 Wonder World Dr.Bldg. 2, Suite 2203
San Marcos, TX 78666-7791
Phone 512-667-7123 · Fax 512-667-7328
Mailing address
1340 Wonder World Dr.Bldg. 2, Suite 2203
San Marcos, TX 78666-7791
Phone 512-667-7123 · Fax 512-667-7328
Authorized official
Hassan Michael Alissa
President
7138763034
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