Provider Demographics
NPI:1386461804
Name:SWANK, HANNAH DANIELLE (PA-C)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:DANIELLE
Last Name:SWANK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6906 RUDI CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-7035
Mailing Address - Country:US
Mailing Address - Phone:512-903-5330
Mailing Address - Fax:
Practice Address - Street 1:1919 OLD SPANISH TRL FL 6
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2003
Practice Address - Country:US
Practice Address - Phone:713-798-1750
Practice Address - Fax:713-610-4597
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA18319363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant