Provider Demographics
NPI:1225908940
Name:HIX, HANNA-ROSE ISABELLA (PA-C)
Entity type:Individual
Prefix:
First Name:HANNA-ROSE
Middle Name:ISABELLA
Last Name:HIX
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HANNA-ROSE
Other - Middle Name:
Other - Last Name:LACY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:3201 DUVAL RD APT 311
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5414
Mailing Address - Country:US
Mailing Address - Phone:972-824-8286
Mailing Address - Fax:
Practice Address - Street 1:101 MEDICAL PKWY STE 220
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78738-5649
Practice Address - Country:US
Practice Address - Phone:512-814-1984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-07
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX797084363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant