Individual
TONY HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1585 3RD ST DEPT OF, FORT POLK, LA 71459-5102
(337) 531-6090
(337) 531-3760
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-6090
(337) 531-3760
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12149R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530085
—
LA
Enumeration date
03/12/2007
Last updated
03/14/2022
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