Individual
TRAVIS HANEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2220 CANTERBURY DR, HAYS, KS 67601-2370
(856) 254-6997
Mailing address
PO BOX 844568, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10057605
TX
207R00000X
Internal Medicine Physician
R8207
TX
207RC0000X
Cardiovascular Disease Physician
0449557
KS
207RI0011X
Interventional Cardiology Physician
Primary
0449557
KS
207RI0011X
Interventional Cardiology Physician
9534TEP
NE
Other
Enumeration date
05/26/2016
Last updated
11/06/2024
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