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1508027004
JACQUELINE R HANNA
SOUTHLAKE, TX
NPI
1508027004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX N9871)
Enumeration Date
2008-06-18
Last Update Date
2017-02-01
Business Address
-- JACQUELINE R HANNA MD
2727 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092-6613
Phone number: 682-885-6000
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Mailing Address
-- JACQUELINE R HANNA MD
PO BOX 99213
FORT WORTH, TX 76199-0213
Phone number: 682-885-4446
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