MEDICARE: HILARY 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	15179	TX

General Provider Information

NPI Number	:	1689311235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILARY HANNY DC

Provider Business Mailing Address
First Line	:	601 SE MELODY LN STE 101
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64063-4804
Country	:	US
Telephone Number	:	816-588-2477
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	:

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

Provider Enumeration Date	:	05/16/2022
Last Update Date	:	05/16/2022

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Directions to “ HILARY HANNY DC” Practice Location

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