| Hanane Chichane, Md,pa | |
|
115 Nw Newton Dr Ste C Burleson TX 76028-4793 | |
| (817) 426-3323 | |
| (817) 426-3353 |
| Full Name | Hanane Chichane, Md,pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 115 Nw Newton Dr Ste C, Burleson, Texas |
| Authorized Official Name and Position | Hanane Chichane (PRESIDENT) |
| Authorized Official Contact | 8174263323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanane Chichane, Md,pa P.o. Box 1899 Burleson TX 76097-1899 Ph: (817) 426-3323 | Hanane Chichane, Md,pa 115 Nw Newton Dr Ste C Burleson TX 76028-4793 Ph: (817) 426-3323 |
| NPI Number | 1073746004 |
|---|---|
| Provider Enumeration Date | 08/25/2009 |
| Last Update Date | 01/19/2010 |
| Medicare PECOS PAC ID | 5395881502 |
|---|---|
| Medicare Enrollment ID | O20091001000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073746004 | NPI | - | NPPES |
| 0093SQ | Other | TX | BCBS |
| 206469301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Hanane Chichane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689677957 PECOS PAC ID: 6709805807 Enrollment ID: I20051117000865 |
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