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Individual

DR. STEVEN I. HANISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5939 HARRY HINES BLVD STE 700, DALLAS, TX 75235-6243
(214) 645-1919
(214) 645-1903
Mailing address
5959 HARRY HINES BLVD STE HP4.102, MAIL CODE 8567, DALLAS, TX 75235-6234
(214) 645-6682
(214) 645-6771

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
D0075219
MD
204F00000X
Transplant Surgery Physician
R8570
TX
208600000X
Surgery Physician
R8570
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D0075219
STATE LICENSE
MD
01
R8570
TEXAS STATE LICENSE
TX
Enumeration date
03/06/2007
Last updated
08/21/2019
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