Individual
KIM M HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-8001
(210) 358-4429
Mailing address
7703 FLOYD CURL DR, MC 7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
(210) 450-4903
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
679761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282197701
—
TX
Enumeration date
04/14/2011
Last updated
09/28/2011
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