Individual
JACEY HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6565 FANNIN ST, M1-076, HOUSTON, TX 77030-2703
(713) 441-4431
(713) 790-6615
Mailing address
6565 FANNIN ST, M1-076, HOUSTON, TX 77030-2703
(713) 441-4431
(713) 790-6615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP1003824
TX
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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