Individual
HANNAH ELAINE DILLENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5201 HARRY HINES BLVD, GRADUATE MEDICAL EDUCATION, DALLAS, TX 75235-7708
(214) 590-8058
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60544775
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P4861
TEXAS MEDICAL LICENSE
TX
Enumeration date
04/06/2011
Last updated
10/20/2022
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