Individual
DR. MARY R HANNAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5012 TRINITY LANDING DR W, FORT WORTH, TX 76132-3736
(817) 269-6872
(817) 393-1798
Mailing address
PO BOX 16533, FORT WORTH, TX 76162-0533
(817) 269-6872
(817) 393-1798
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G7318
TX
208D00000X
General Practice Physician
G7318
TX
Other
Enumeration date
03/28/2007
Last updated
08/23/2019
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