Provider Demographics
NPI:1548289366
Name:HANNING, ROBIN D (NP)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:D
Last Name:HANNING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9229 LYNDON B JOHNSON FWY
Mailing Address - Street 2:STE 250
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3405
Mailing Address - Country:US
Mailing Address - Phone:972-739-3097
Mailing Address - Fax:972-739-2673
Practice Address - Street 1:809 GALLAGHER DR
Practice Address - Street 2:SUITE B
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-3111
Practice Address - Country:US
Practice Address - Phone:903-957-0302
Practice Address - Fax:903-893-6762
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX247871363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104788803Medicaid
TX8C7185Medicare ID - Type Unspecified
TX104788803Medicaid
TX8L23486Medicare PIN