Provider Demographics
NPI:1316960420
Name:HANKINSON, HAL L (MD)
Entity type:Individual
Prefix:
First Name:HAL
Middle Name:L
Last Name:HANKINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:465 SAINT MICHAELS DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-7670
Mailing Address - Country:US
Mailing Address - Phone:505-988-3233
Mailing Address - Fax:505-988-3562
Practice Address - Street 1:465 SAINT MICHAELS DR
Practice Address - Street 2:SUITE 107
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-7670
Practice Address - Country:US
Practice Address - Phone:505-988-3233
Practice Address - Fax:505-988-3562
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2011-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM75163207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
202020646OtherPRESBYTERIAN HEALTH PLANS
NMNM039175OtherBCBS NM
NM11619Medicaid
1128353OtherUHC
PROVP13542OtherMOLINA
NM11619Medicaid
1128353OtherUHC
NM342316702Medicare ID - Type Unspecified