JOHNNY MALCOLM HASSERODT

CORPUS CHRISTI, TX
NPI1164716072
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  674744)
Enumeration Date2011-06-08
Last Update Date2016-08-03
Business Address
JOHNNY MALCOLM HASSERODT NP
13725 NORTHWEST BLVD STE 260
CORPUS CHRISTI, TX 78410-5123
Phone number: 361-387-5161
Mailing Address
JOHNNY MALCOLM HASSERODT NP
PO BOX 261017
CORPUS CHRISTI, TX 78426-1017
Phone number: 361-387-5161
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