Provider Demographics
NPI:1275203853
Name:HANNY, NICHOLAS (DC)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:
Last Name:HANNY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 170292
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76003-0292
Mailing Address - Country:US
Mailing Address - Phone:435-554-5875
Mailing Address - Fax:
Practice Address - Street 1:4375 BOOTH CALLOWAY RD STE 305
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-8364
Practice Address - Country:US
Practice Address - Phone:817-286-4700
Practice Address - Fax:817-725-8899
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14875111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor