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ARTHRITIS CLINIC OF CENTRAL TEXAS NPI 1801132048


NPI Information

NPI: 1801132048
Provider Name: ARTHRITIS CLINIC OF CENTRAL TEXAS

Doing Business As: HASSAN ALISSA SOLE MBR

Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 45D2084791

Address:
1340 WONDER WORLD DR.
BLDG. 2, SUITE 2203
SAN MARCOS, TX
ZIP 78666
Phone: (512) 667-7123
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ARTHRITIS CLINIC OF CENTRAL TEXAS is a rheumatology internal medicine in San Marcos, TX. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. ARTHRITIS CLINIC OF CENTRAL TEXAS NPI is 1801132048. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Hassan Alissa Sole Mbr.

The provider's business location address is:

1340 WONDER WORLD DR.
BLDG. 2, SUITE 2203
SAN MARCOS, TX
ZIP 78666-791
Phone: (512) 667-7123
Fax: (512) 667-7328

The provider's authorized official is Hassan Michael Alissa .
The authorized official title is President and has the following contact phone number (713) 876-3034.

The CLIA number assigned to this NPI record is 45D2084791 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2012 and was last updated on 10/22/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RR0500XInternal MedicineRheumatologyM7829TEXASNo
2207RR0500XInternal MedicineRheumatologyM7820TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1207781001MEDICAIDTEXAS
2H46946MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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