Provider Demographics
NPI:1982835153
Name:CRANE, HANNAH K
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:K
Last Name:CRANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 W I 30
Mailing Address - Street 2:SUITE 213
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-5712
Mailing Address - Country:US
Mailing Address - Phone:972-226-6496
Mailing Address - Fax:972-226-0882
Practice Address - Street 1:510 W I-30
Practice Address - Street 2:SUITE 213
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043
Practice Address - Country:US
Practice Address - Phone:972-226-6496
Practice Address - Fax:972-226-0882
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1358390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program