MEDICARE: ANGELA HANLEY

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	146L00000X	Paramedic

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679990444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA HANLEY

Provider Business Mailing Address
First Line	:	1843 FM 665 RD
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78415-6809
Country	:	US
Telephone Number	:	361-265-0509
Fax Number	:	361-265-0541

Provider Business Practice Location Address
First Line	:	1843 FM 665 RD
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78415-6809
Country	:	US
Telephone Number	:	361-265-0509
Fax Number	:	361-265-0541

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

Provider Enumeration Date	:	03/18/2014
Last Update Date	:	03/18/2014

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Directions to “ ANGELA HANLEY ” Practice Location

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