Active NPI
Allan Thomas Hanretta, M.D.
- Psychiatry Physician
- Lubbock, TX
National Provider Identifier
1487074472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H8108
- Practice address
- 3401 N University Ave
Lubbock, TX 79415-1734 - Phone
- (806) 741-3789
- NPI assigned
- Apr 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H8108 | TX | Primary |
Addresses
Primary practice location
3401 N University Ave
Lubbock, TX 79415-1734
Mailing address
3401 N University Ave
Lubbock, TX 79415-1734
Phone (806) 741-3789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397865600000",
"number": "1487074472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 N UNIVERSITY AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794151734",
"telephone_number": "806-741-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N UNIVERSITY AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794151734",
"telephone_number": "806-741-3789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANRETTA",
"first_name": "ALLAN",
"middle_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H8108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.