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NPI Code Detail

MEDICARE: DR. JOHN PATRICK HANLON DMD

MEDICARE:  DR. JOHN PATRICK HANLON  DMD
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
11223P0700XProsthodontics28789TX

General Provider Information

NPI Number : 1538506746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN PATRICK HANLON DMD
Provider Business Mailing Address
First Line : 11815 VANCE JACKSON RD APT 1201
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-1456
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7826 LOUIS PASTEUR DR STE 103
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-3410
Country : US
Telephone Number : 480-280-6903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2013
Last Update Date : 12/29/2023

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Directions to “ DR. JOHN PATRICK HANLON DMD” Practice Location

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