| Holly L Hanson, MD | |
|
4102 24th St, Ste 506, Lubbock, TX 79410-1806 | |
| (806) 725-5500 | |
| (806) 723-7920 |
| Full Name | Holly L Hanson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4102 24th St, Lubbock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306809017 | NPI | - | NPPES |
| 141656201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | M2340 (Texas) | Primary |
| Entity Name | Covenant Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376598904 PECOS PAC ID: 6901889393 Enrollment ID: O20040608000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly L Hanson, MD 3420 22nd Place, Lubbock, TX 79410 Ph: (806) 725-7800 | Holly L Hanson, MD 4102 24th St, Ste 506, Lubbock, TX 79410-1806 Ph: (806) 725-5500 |
Weerapong Lilitwat, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8813 Fax: 806-775-9182 | |
Claire Cooper, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5410 114th St, Lubbock, TX 79424 Phone: 806-853-5233 | |
Sara Al Dogom, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2669 | |
Laszlo Nagy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4102 24th St Ste 504, Lubbock, TX 79410 Phone: 806-743-7700 Fax: 806-743-7703 | |
Dr. Jane Elizabeth Wheeler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4617 92nd St, Lubbock, TX 79424 Phone: 806-794-0246 | |
Dr. Douglas Klepper, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7501 Quaker Ave, Lubbock, TX 79424 Phone: 806-793-7257 Fax: 806-799-1568 | |
Dr. Leopoldo Amansec Cabrera, M.D., F.A.A.P. Pediatrics Medicare: Medicare Enrolled Practice Location: 542419th St, Ste 200, Lubbock, TX 79407 Phone: 806-722-4453 Fax: 806-722-4461 |