Basic Information
| Provider Information | |||||||||
| NPI: | 1023262524 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HANKERSON ANESTHESIA GROUP PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8900 STATE LINE RD | ||||||||
| Address2: | SUITE 420 | ||||||||
| City: | LEAWOOD | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662061960 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9137540467 | ||||||||
| FaxNumber: | 9133811180 | ||||||||
| Practice Location | |||||||||
| Address1: | 5329 PRIMROSE LAKE CIR | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336473521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9137540467 | ||||||||
| FaxNumber: | 9133811180 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/11/2008 | ||||||||
| LastUpdateDate: | 11/11/2008 | ||||||||
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| AuthorizedOfficialLastName: | HANKERSON | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | G | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8666462478 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.