Provider Demographics
NPI:1134120579
Name:HANLEY, PATRICIA SEBIA (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:SEBIA
Last Name:HANLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 S CAPITAL OF TEXAS HWY
Mailing Address - Street 2:STE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5264
Mailing Address - Country:US
Mailing Address - Phone:512-306-8360
Mailing Address - Fax:512-306-8176
Practice Address - Street 1:912 S CAPITAL OF TEXAS HWY
Practice Address - Street 2:STE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5264
Practice Address - Country:US
Practice Address - Phone:512-306-8360
Practice Address - Fax:512-306-8176
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7062207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E93046Medicare UPIN