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Contact Information

MIRZA S HASAN, MD
8230 WALNUT HILL LN STE 308
DALLAS, TX75231-4407
 Phone: 214-691-8306
 Fax: 214-691-3967
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MIRZA S HASAN · (Male)

NPI # 1255369815
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2006
Last updated 01/13/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • TX License # J6480
  • TX Medicaid 101889703
  • TX Medicaid 101889705
  • TX Medicaid 101889706
  • TN Other 8B5309 BCBS
  • TX Other P00250019 RR MEDICARE
Hospital affiliation(s)
  • TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS - (Acute Care)
    8200 WALNUT HILL LANE
    DALLAS, TX 75231
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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