Individual
HANNAH RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-2500
(682) 885-2510
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6163
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12881
TX
Other
Enumeration date
08/09/2019
Last updated
12/09/2022
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