Basic Information
| Provider Information | |||||||||
| NPI: | 1396467924 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HANCOCK | ||||||||
| FirstName: | AUGUST | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | DPT | ||||||||
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| OtherLastName: | HANCOCK | ||||||||
| OtherFirstName: | AUGUST | ||||||||
| OtherMiddleName: | S. | ||||||||
| OtherNamePrefix: | DR. | ||||||||
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| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 5220 W UNIVERSITY DR STE 150 | ||||||||
| Address2: | |||||||||
| City: | MCKINNEY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750717418 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9729841050 | ||||||||
| FaxNumber: | 9729841376 | ||||||||
| Practice Location | |||||||||
| Address1: | 1790 KING ARTHUR BLVD STE 120 | ||||||||
| Address2: | |||||||||
| City: | CARROLLTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750102040 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9729841050 | ||||||||
| FaxNumber: | 9729841376 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/12/2022 | ||||||||
| LastUpdateDate: | 09/12/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1368146 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.