Organization
TODD WESLEY HANCOCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELORES CADY (AUTHORIZED OFFICIAL)
(972) 488-8926
Entity
Organization
Contact information
Practice address
6757 ARAPAHO RD, DALLAS, TX 75248-4005
(972) 488-8926
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/14/2006
Last updated
09/06/2023
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