Provider Demographics
NPI:1689032344
Name:WINN, HANNAH MARIE (DC, EMT-B)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:MARIE
Last Name:WINN
Suffix:
Gender:F
Credentials:DC, EMT-B
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Mailing Address - Street 1:3700 CHEEK SPARGER RD
Mailing Address - Street 2:#100
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-2974
Mailing Address - Country:US
Mailing Address - Phone:817-267-0102
Mailing Address - Fax:817-283-4755
Practice Address - Street 1:3700 CHEEK SPARGER RD
Practice Address - Street 2:#100
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-2974
Practice Address - Country:US
Practice Address - Phone:817-267-0102
Practice Address - Fax:817-283-4755
Is Sole Proprietor?:No
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX13138111N00000X
TX724156146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic