Organization
HANANE CHICHANE, MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANANE CHICHANE MD (PRESIDENT)
(817) 426-3323
Entity
Organization
Contact information
Practice address
115 NW NEWTON DR STE C, BURLESON, TX 76028-4793
(817) 426-3323
(817) 426-3353
Mailing address
P.O. BOX 1899, BURLESON, TX 76097-1899
(817) 426-3323
(817) 426-3353
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093SQ
BCBS
TX
05
—
206469301
—
TX
Enumeration date
08/25/2009
Last updated
01/19/2010
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