Provider Demographics
NPI:1023636297
Name:HASSAN, ERIK MICHAEL (LICENSED PARAMEDIC)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:MICHAEL
Last Name:HASSAN
Suffix:
Gender:M
Credentials:LICENSED PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22607 CORIANDER DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1523
Mailing Address - Country:US
Mailing Address - Phone:832-613-3766
Mailing Address - Fax:
Practice Address - Street 1:22607 CORIANDER DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1523
Practice Address - Country:US
Practice Address - Phone:832-613-3766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-13
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX710717146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic