Individual
BRANDON HANAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 S GENERAL BRUCE DR, TEMPLE, TX 76504-5138
(254) 312-4031
Mailing address
5 ELM CT, BELTON, TX 76513-9242
(254) 231-2941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16531
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2022
Last updated
03/11/2023
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