Provider Demographics
NPI:1750670352
Name:FOX, MEGAN ANNETTE HANES (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:ANNETTE HANES
Last Name:FOX
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3201 S AUSTIN AVE
Mailing Address - Street 2:SUITE # 115
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-7545
Mailing Address - Country:US
Mailing Address - Phone:512-763-4000
Mailing Address - Fax:
Practice Address - Street 1:3201 S AUSTIN AVE
Practice Address - Street 2:SUITE # 115
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7545
Practice Address - Country:US
Practice Address - Phone:512-763-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2012-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA07174363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant