1164656278 NPI number — FERHAT M. HASAN, M.D. AND ASSOCIATES, PA

Table of content: MR. TERRELL LEE PENDLETON DMD (NPI 1932436151)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164656278 NPI number — FERHAT M. HASAN, M.D. AND ASSOCIATES, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FERHAT M. HASAN, M.D. AND ASSOCIATES, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164656278
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/05/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11914 ASTORIA BLVD
Provider Second Line Business Mailing Address:
STE 420
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77089-6064
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-484-9070
Provider Business Mailing Address Fax Number:
281-481-2917

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11914 ASTORIA BLVD
Provider Second Line Business Practice Location Address:
STE 420
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77089-6064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-484-9070
Provider Business Practice Location Address Fax Number:
281-481-2917
Provider Enumeration Date:
05/05/2009

Additional Information

Authorized Official

Authorized Official Last Name:
HASAN
Authorized Official First Name:
MANZOOR
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
713-419-2731

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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