Provider Demographics
NPI:1255893855
Name:HANCOX, MICHELLE (NP-C)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:HANCOX
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6009 F-M 307
Mailing Address - Street 2:SUITE E
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706-2642
Mailing Address - Country:US
Mailing Address - Phone:432-413-9269
Mailing Address - Fax:
Practice Address - Street 1:6009 F-M 307
Practice Address - Street 2:SUITE E
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-2642
Practice Address - Country:US
Practice Address - Phone:432-247-1441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-02
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141210363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care