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Individual

KAVIN G. HANZIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, NP-C

Contact information

Practice address
501 W MEDICAL CENTER BLVD, WEBSTER, TX 77598-4219
(281) 332-7505
(281) 332-7616
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
661718
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
199702502
TX
05
199702503
TX
01
8Y1279
BCBS
TX
01
P01880001
RAILROAD
TX
Enumeration date
12/07/2006
Last updated
12/10/2019
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