P Praxis·MD
● Active Type 1 · Individual

DR. Sullivan Clyde Hanback, MD

Student in an Organized Health Care Education/Training Program·Houston, TX· NPI 1417538141 · Enumerated 2021 · 5 years on NPI
Hanback is 1 of 4119 student in an organized health care education/training program providers in Houston and 1 of 17977 in Texas.
NPI age
5 years
Enumerated 2021-04-15
Primary specialty
Student in an Organized Health Care Education/Training Program
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 17977 active student in an organized health care education/training program providers in Texas.

NPI age
5 years
↑ 3 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 6% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-04Enumerated in NPPES
2021 2026

Where they practice

Practice location
6431 Fannin Street, Suite Jjl 270-6
Houston, TX 77030
📞 7135007878fax 7135000758
Mailing address
6431 Fannin Street, Suite Jjl 270-6
Houston, TX 77030
📞 7135007878fax 7135000758

Specialties

  • Student in an Organized Health Care Education/Training Program Primary
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X
  • Emergency Medicine
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    TX license #U4523 taxonomy 207P00000X

Practice context

Part of a multi-provider practice. 175 other active providers share this practice address in NPPES.

Recently enumerated nearby: 548 new student in an organized health care education/training program providers have been added in Houston in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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