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NPI Code Detail

MEDICARE: DR. MARY BETH HANCOCK D/OTR

MEDICARE: DR. MARY BETH HANCOCK D/OTR
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
1225XP0200XPediatric Occupational Therapist110200TX

General Provider Information

NPI Number : 1619078250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY BETH HANCOCK D/OTR
Provider Business Mailing Address
First Line : 13510 CASTLECOMBE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77044-4953
Country : US
Telephone Number : 832-309-6055
Fax Number :
Provider Business Practice Location Address
First Line : 1431 GREENWAY DR STE 500
Second Line :
City : IRVING
State : TX
Zip : 75038-2444
Country : US
Telephone Number : 877-688-2520
Fax Number : 214-741-3655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 12/19/2025

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