Individual
SUSAN HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
611 W HWY 6, STE 108, WACO, TX 76710-7544
(254) 741-8686
(254) 741-8687
Mailing address
611 W HWY 6, STE 108, WACO, TX 76710-7544
(254) 741-8686
(254) 741-8687
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
255102
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
255102
TX
Other
Enumeration date
08/18/2006
Last updated
11/10/2016
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