Individual
SHAD B HANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
2830 COMMERCIAL CENTER BLVD STE 101, KATY, TX 77494-6406
(281) 693-1333
(281) 693-2207
Mailing address
2830 COMMERCIAL CENTER BLVD STE 101, KATY, TX 77494-6406
(281) 693-1333
(281) 693-2207
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
25214
TX
Other
Enumeration date
08/22/2010
Last updated
11/27/2012
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