Doctor Name: | HASSAN ALI ALSULTAN |
NPI Number: | 1558744284 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | BP1-0054176 |
Business Practice Address: | 1400 S Coulter St Suite 5100 Amarillo, TX - 791061786 |
Business Phone Number: | 8064149493 |
Business Fax Number: | 8063513769 |
Mailing Address: | 1400 S Coulter St, Suite 5100 AMARILLO |
State: | TX |
Postal Code: | 791061786 |
Phone Number: | 8064149493 |
Fax Number: | 8063513769 |
NPI Enumeration Date: | 06/30/2015 |
NPI Last Update Date: | 06/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | BP1-0054176 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |