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Individual

ROBERT HANCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 942-5733
(214) 942-6115
Mailing address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 942-5733
(214) 942-6115

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M2971
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
190138101
TX
01
8AH840
BCBS
TX
01
8J8760
MEDICARE
TX
01
P00408310
RR MEDICARE
TX
Enumeration date
04/10/2007
Last updated
04/21/2008
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