Provider Demographics
NPI:1174158661
Name:ASSAD, HIRA
Entity type:Individual
Prefix:DR
First Name:HIRA
Middle Name:
Last Name:ASSAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SPRING KLEIN ENDODONTICS
Mailing Address - Street 2:6078 FARM TO MARKET 2920
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379
Mailing Address - Country:US
Mailing Address - Phone:857-250-5771
Mailing Address - Fax:
Practice Address - Street 1:SPRING KLEIN ENDODONTICS
Practice Address - Street 2:6078 FARM TO MARKET 2920
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379
Practice Address - Country:US
Practice Address - Phone:857-250-5771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX359471223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty