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Organization
JHANCOCK MEDICAL LLC
Active
Organization
JHANCOCK MEDICAL LLC
Active
Other names
Good Life Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVIDHIZAR MD (PRESIDENT)
(936) 661-1556
Entity
Organization
Contact information
Practice address
3995 STATE HIGHWAY 6 S STE 500, COLLEGE STATION, TX 77845-5820
(254) 366-4247
Mailing address
3045 GOLDEN TRL, COLLEGE STATION, TX 77845-3870
(254) 366-4247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
09/15/2023
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