Provider Demographics
NPI:1336140789
Name:HANKS, SYLVIA B (RN FNP)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:B
Last Name:HANKS
Suffix:
Gender:F
Credentials:RN FNP
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:M
Other - Last Name:BALK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:906 W RANDOL MILL RD STE 200
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2510
Practice Address - Country:US
Practice Address - Phone:817-261-4906
Practice Address - Fax:817-261-5837
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRN239146363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX209894901Medicaid
TX209894903Medicaid
TX209894902Medicaid
TX209894902Medicaid
TX209894901Medicaid
TX8L25222Medicare PIN
TX8L25223Medicare PIN
TX8L25224Medicare PIN