Provider Demographics
NPI:1528030392
Name:HANFT, VALERIE NICOLE (MD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:NICOLE
Last Name:HANFT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8825 BEE CAVES RD STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-4721
Mailing Address - Country:US
Mailing Address - Phone:512-328-3376
Mailing Address - Fax:512-666-3767
Practice Address - Street 1:8825 BEE CAVES RD STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-4721
Practice Address - Country:US
Practice Address - Phone:512-328-3376
Practice Address - Fax:512-540-4690
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0424207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8M7131OtherBCBS OF TEXAS INDIVIDUAL #
TX8M7131OtherBCBS OF TEXAS INDIVIDUAL #
TXH53511Medicare UPIN