Provider Demographics
NPI:1649156928
Name:HANKS, TONYA (RN)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:HANKS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 AUSTIN LN
Mailing Address - Street 2:
Mailing Address - City:POLLOK
Mailing Address - State:TX
Mailing Address - Zip Code:75969-3673
Mailing Address - Country:US
Mailing Address - Phone:936-297-6051
Mailing Address - Fax:936-297-6024
Practice Address - Street 1:165 AUSTIN LN
Practice Address - Street 2:
Practice Address - City:POLLOK
Practice Address - State:TX
Practice Address - Zip Code:75969-3673
Practice Address - Country:US
Practice Address - Phone:936-297-6051
Practice Address - Fax:936-297-6024
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX741928163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse