Provider Demographics
NPI:1487530531
Name:HANA, ERMIAS 0
Entity type:Individual
Prefix:
First Name:ERMIAS
Middle Name:0
Last Name:HANA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15008 GARRANO WAY
Mailing Address - Street 2:
Mailing Address - City:MANOR
Mailing Address - State:TX
Mailing Address - Zip Code:78653-2983
Mailing Address - Country:US
Mailing Address - Phone:737-333-5240
Mailing Address - Fax:
Practice Address - Street 1:15008 GARRANO WAY
Practice Address - Street 2:
Practice Address - City:MANOR
Practice Address - State:TX
Practice Address - Zip Code:78653-2983
Practice Address - Country:US
Practice Address - Phone:737-333-5240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48403618343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)