Provider / Organization | NPI | Date Certified |
---|---|---|
MD ROCKYB HASAN | 1932788353 | 2021-04-04 |
Md Rockyb Hasan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1932788353. Registration indicates Md Rockyb Hasan is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Md Rockyb Hasan MD |
Practice Office Address | 1400 S COULTER ST STE 2500 AMARILLO, TX US |
Practice Office Telephone | 8064149100 |
Practice Office Fax | 8063545717 |
Mailing Address | 1400 S COULTER ST STE 2500 AMARILLO, TX 791061786 US |
Business Telephone | 8064149100 |
Business Fax | 8063545717 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |
TX |