Provider Demographics
NPI:1891749339
Name:HANISSIAN, TALYNN A (MD)
Entity Type:Individual
Prefix:DR
First Name:TALYNN
Middle Name:A
Last Name:HANISSIAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9809 ROWLETT RD
Mailing Address - Street 2:SUITE A1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-3403
Mailing Address - Country:US
Mailing Address - Phone:713-644-1119
Mailing Address - Fax:713-644-0900
Practice Address - Street 1:9809 ROWLETT RD
Practice Address - Street 2:SUITE A1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-3403
Practice Address - Country:US
Practice Address - Phone:713-644-1119
Practice Address - Fax:713-644-0900
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2017-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH8677208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics