Dr. Charles Calvin Hanley
Oral and Maxillofacial Surgeon
1505 Emerald Plz
College Station
, Texas 77845-1501
Dr. Charles Calvin Hanley
Oral and Maxillofacial Surgeon
1505 Emerald Plz
College Station
, Texas 77845-1501
(979) 764-7115
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Charles Calvin Hanley
- 1505 Emerald Plz
- College Station, TX
- Zip : 77845-1501
- Fax : (979) 764-7115
- Phone : (979) 764-7101
Second Address
- Dr. Charles Calvin Hanley
- 1505 Emerald Plz
- College Station, TX
- Zip : 77845-1501
- Fax : (979) 764-7115
- Phone : (979) 764-7101
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 29517 | TX |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 6229 | OK |
National Provider Identifier
| NPI | 1023322187 |
|---|---|
| Provider Name | Dr. Charles Calvin Hanley |
| First Address | College Station, TX 77845-1501 |
| Second Address | College Station, TX 77845-1501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2010 |
| Last Update Date | 20/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.