Provider Demographics
NPI:1235326158
Name:HANNAWAY, ANGELA M (PA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:HANNAWAY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1104 N AVENUE S
Mailing Address - Street 2:
Mailing Address - City:POST
Mailing Address - State:TX
Mailing Address - Zip Code:79356-2115
Mailing Address - Country:US
Mailing Address - Phone:806-495-2853
Mailing Address - Fax:806-495-3576
Practice Address - Street 1:1104 N AVENUE S
Practice Address - Street 2:
Practice Address - City:POST
Practice Address - State:TX
Practice Address - Zip Code:79356-2115
Practice Address - Country:US
Practice Address - Phone:806-495-2853
Practice Address - Fax:806-782-0216
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2023-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA05442363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant