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Individual
DR. TODD WESLEY HANCOCK
Active
Individual
DR. TODD WESLEY HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L5758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041KJ
BLUE SHIELD
TX
01
—
610543
MEDICARE - DALLAS
TX
01
—
610713
MEDICARE - COLLIN
TX
Enumeration date
06/23/2006
Last updated
11/08/2007
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