Individual
ELLEN HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
209 PONTE VEDRA PARK DR., PONTE VERDA BEACH, FL 32082
(904) 273-6200
(409) 772-1872
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0724
(409) 772-8119
(409) 772-1872
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
BP10057075
TX
Other
Enumeration date
05/02/2016
Last updated
09/07/2022
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