MEDICARE: NICHOLAS HANNY DC

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
1	111N00000X	Chiropractor	14875	TX

General Provider Information

NPI Number	:	1275203853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS HANNY DC

Provider Business Mailing Address
First Line	:	PO BOX 170292
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76003-0292
Country	:	US
Telephone Number	:	435-554-5875
Fax Number	:

Provider Business Practice Location Address
First Line	:	4375 BOOTH CALLOWAY RD STE 305
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-8364
Country	:	US
Telephone Number	:	817-286-4700
Fax Number	:	817-725-8899

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2021
Last Update Date	:	01/15/2025

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Directions to “ NICHOLAS HANNY DC” Practice Location

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