Individual
MICHAEL DILLON HANNASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
105 SPRING GREEN BLVD STE 300, VICTORIA, TX 77904-7102
(361) 345-4566
(888) 849-3841
Mailing address
105 SPRING GREEN BLVD STE 300, VICTORIA, TX 77904-7102
(361) 345-4566
(888) 849-3841
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA10395
TX
363AS0400X
Surgical Physician Assistant
Primary
PA10395
TX
Other
Enumeration date
11/19/2015
Last updated
12/12/2025
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