Hanebrink, Kimberly Ann
Hanebrink, Kimberly Ann is an individual health care provider with primary practice located at 17099 N Texas Ave Ste. 200, Webster TX 77598-4069. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hanebrink, Kimberly Ann can be contacted via phone (281) 332-4575.Contact Information
Primary practice address
17099 N Texas Ave Ste. 200
Webster TX 77598-4069
Phone: (281) 332-4575
Fax: (281) 554-4722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA08501 | Texas |
Profile Details
| NPI number | 1164796926 |
|---|---|
| LBN Legal business name | Hanebrink, Kimberly Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2012 |
| Last updated | Jul 23rd, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164796926 | NPPES |
| Texas | Other | 8599NF | BCBS |
| Texas | MEDICAID | 328568601 | BCBS |
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