Healthcare Provider Details

I. General information

NPI: 1326851379
Provider Name (Legal Business Name): HANNAH MCCOWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 W LOOP 281 STE J
LONGVIEW TX
75605-4450
US

IV. Provider business mailing address

9027 COUNTY ROAD 461 S
LANEVILLE TX
75667-9663
US

V. Phone/Fax

Practice location:
  • Phone: 903-522-2788
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number1193326
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: