Michelle a Hanes Mdpa

NPI #1164604104 in Shenandoah, Texas

Provider Information

NPI Number: 1164604104
Entity Type: Organization
Organization Name: Michelle a Hanes Mdpa
Primary Specialty: Specialist
Enumeration Date: Dec 1, 2007
Last Updated: Sep 25, 2008

Practice Location

Address: 1120 MEDICAL PLAZA DR
Address 2: SUITE 150
City: Shenandoah
State: Texas
ZIP Code: 77380-3242
Phone: (281) 364-1014

Authorized Official

Name: MICHELLE AILEEN HANES, M.D.
Title: OWNER
Phone: (281) 364-1014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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