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NPI Code Detail

MEDICARE: HANNAH HYDEN

MEDICARE:   HANNAH  HYDEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker111807TX

General Provider Information

NPI Number : 1265274690
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH HYDEN
Provider Business Mailing Address
First Line : 905 ELMWOOD AVE
Second Line :
City : DENTON
State : TX
Zip : 76210-1656
Country : US
Telephone Number : 972-251-3973
Fax Number :
Provider Business Practice Location Address
First Line : 10640 N RIVERSIDE DR STE 300
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-9507
Country : US
Telephone Number : 817-722-6078
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2024
Last Update Date : 03/04/2026

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Directions to “ HANNAH HYDEN ” Practice Location

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