Individual
SARA JANE HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6410 FANNIN ST STE 1014, HOUSTON, TX 77030-5301
(832) 325-7080
Mailing address
6410 FANNIN ST STE 1014, HOUSTON, TX 77030-5301
(832) 325-7080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
641861
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP121273
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295808401
—
TX
Enumeration date
03/28/2012
Last updated
05/04/2021
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