Michelle a Hanes Mdpa

Primary specialty

SpecialistTaxonomy code 174400000X

License

M1128 Issued in TX

Legal business name

MICHELLE A HANES MDPA

Practice address

1120 Medical Plaza Dr
Suite 150
Shenandoah, TX 77380-3242

Phone

(281) 364-1014

Fax

(281) 292-1014

NPI assigned

Dec 1, 2007

Last updated

Sep 25, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Aileen Hanes, M.D.

Title

Owner

Phone

(281) 364-1014

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1164604104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DR",
            "address_2": "SUITE 150",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803242",
            "telephone_number": "281-364-1014",
            "fax_number": "281-292-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DR",
            "address_2": "SUITE 150",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803242",
            "telephone_number": "281-364-1014",
            "fax_number": "281-292-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE A HANES MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-01",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "HANES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "AILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-364-1014",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M1128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176511702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metx LLC
• Alyssa Meyers, M.A., LPC
• MHS Physicians of Texas
• Michael Ray Gerdts LTD (Vision Source - Research Forest)
• Lilly Michael, PA-C
• Michelle M. Mulder, M.D.P.a.
• Shelby Mickey
• Melissa R Mignogna, PH.D.
• Danielle Renee Milanowski, FNP-C
• Angela Miles, PA-C

• Specialist in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.