1528754926 NPI number — DAPHNE CAROLINE HANCOCK MD, MPH

Table of content: DAPHNE CAROLINE HANCOCK MD, MPH (NPI 1528754926)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528754926 NPI number — DAPHNE CAROLINE HANCOCK MD, MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HANCOCK
Provider First Name:
DAPHNE
Provider Middle Name:
CAROLINE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD, MPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HACKENBERG
Provider Other First Name:
DAPHNE
Provider Other Middle Name:
CAROLINE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD, MPH
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1528754926
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/29/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1004 W 32ND ST STE 400
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78705-1915
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-454-5171
Provider Business Mailing Address Fax Number:
512-454-0704

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1004 W 32ND ST STE 400
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78705-1915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-454-5171
Provider Business Practice Location Address Fax Number:
512-454-0704
Provider Enumeration Date:
04/18/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  W6645 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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