Hannaman, Mary R

Hannaman, Mary R is an sole proprietor health care provider with primary practice located at 5012 Trinity Landing Dr W , Fort Worth TX 76132-3736. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Hannaman, Mary R can be contacted via phone (817) 269-6872.

Contact Information

Primary practice address
5012 Trinity Landing Dr W Fort Worth TX 76132-3736
Phone: (817) 269-6872
Fax: (817) 393-1798
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G7318 Texas
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X G7318 Texas

Profile Details

NPI number 1255450797
LBN Legal business name Hannaman, Mary R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Aug 23rd, 2019 - about 6 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.

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