Individual
HANANE CHICHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
115 NW NEWTON DR STE C, BURLESON, TX 76028-4793
(817) 426-3323
(817) 426-3353
Mailing address
PO BOX 1899, BURLESON, TX 76097-1899
(817) 426-3323
(817) 426-3353
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2084P0800X
Psychiatry Physician
Primary
M1052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174942602
—
TX
05
—
174942603
—
TX
01
—
8CD160
BCBS
TX
Enumeration date
05/31/2005
Last updated
01/19/2010
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