Dr Clyde O Hanks, PHD is a
Psychologist - Clinical based in Desoto, Texas. Dr Clyde O Hanks is licensed to practice in Texas (license number 24895) and his current practice location is
1438 Marlene Pl, Desoto, Texas. He can be reached at his office (for appointments etc.) via phone at
(214) 850-6580.
NPI number for Dr Clyde O Hanks is 1114945649 and his current mailing address is 1438 Marlene Pl, Desoto, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114945649.
Healthcare Provider's Profile
Full Name | Dr Clyde O Hanks |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 1438 Marlene Pl, Desoto, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114945649
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 04/29/2019
Medical Identifiers
Medical identifiers for Dr Clyde O Hanks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114945649 | NPI | - | NPPES |
131884203 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 3853 (Texas) | Secondary |
103TC0700X | Psychologist - Clinical | 24895 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Clyde O Hanks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Clyde O Hanks, PHD 1438 Marlene Pl, Desoto, TX 75115-2907 Ph: (214) 850-6580 | Dr Clyde O Hanks, PHD 1438 Marlene Pl, Desoto, TX 75115-2907 Ph: (214) 850-6580 |
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