Provider Demographics
NPI:1508557620
Name:PILAT, HANNA FLORENCE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:HANNA
Middle Name:FLORENCE
Last Name:PILAT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HANNA
Other - Middle Name:FLORENCE
Other - Last Name:NOVOSAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1253 N VON MINDEN ST
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:TX
Mailing Address - Zip Code:78945-1262
Mailing Address - Country:US
Mailing Address - Phone:979-968-8493
Mailing Address - Fax:
Practice Address - Street 1:1253 N VON MINDEN ST
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:TX
Practice Address - Zip Code:78945-1262
Practice Address - Country:US
Practice Address - Phone:979-968-8493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA16158363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant