Individual
NIKEYA HANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 GATEHOUSE DR, RED OAK, TX 75154-8874
(214) 226-4550
Mailing address
201 GATEHOUSE DR, RED OAK, TX 75154-8874
(214) 226-4550
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2062820
TX
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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