Provider Demographics
NPI:1700196672
Name:HANFORD CONSULTATIONS P.A.
Entity Type:Organization
Organization Name:HANFORD CONSULTATIONS P.A.
Other - Org Name:DR. PATRICK HANFORD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNETT
Authorized Official - Middle Name:
Authorized Official - Last Name:AZZINARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-761-0334
Mailing Address - Street 1:PO BOX 65052
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79490
Mailing Address - Country:US
Mailing Address - Phone:806-761-0334
Mailing Address - Fax:806-722-2908
Practice Address - Street 1:4000 22ND PLACE SUITE 100
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410
Practice Address - Country:US
Practice Address - Phone:806-725-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-13
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6723207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty