| Marel A Hanks, MD | |
|
1001 N Palestine St, Athens, TX 75751-4122 | |
| (903) 535-9041 | |
| Not Available |
| Full Name | Marel A Hanks |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1001 N Palestine St, Athens, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306810593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | H6271 (Texas) | Primary |
| Entity Name | Tyler Family Circle Of Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144575820 PECOS PAC ID: 4587812888 Enrollment ID: O20120911000666 |
| Mailing Address | Practice Location Address |
|---|---|
| Marel A Hanks, MD 523 S Fannin Ave, Tyler, TX 75702-8204 Ph: (903) 535-9041 | Marel A Hanks, MD 1001 N Palestine St, Athens, TX 75751-4122 Ph: (903) 535-9041 |
Dr. J Elaine Shaw, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1505 State Highway 19 S, Athens, TX 75751 Phone: 903-675-1725 Fax: 903-675-7668 | |
Mrs. Lucianne Marin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 S Palestine St, Athens, TX 75751 Phone: 903-535-9041 Fax: 903-904-5085 | |
Vandana Char, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 824 Southpark Cir, Athens, TX 75752 Phone: 903-675-7376 Fax: 903-677-4234 |