OrganizationActive
Michelle a Hanes Mdpa
NPI 1164604104 · Specialist · Shenandoah, TX
Provider details
- NPI number
- 1164604104
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Michelle Hanes, Owner(281) 364-1014
- License
- M1128 (TX)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1120 Medical Plaza Dr
Suite 150
Shenandoah, TX 77380-3242
Phone: (281) 364-1014
Fax: (281) 292-1014
Street-level locationGet directions
Mailing address
1120 Medical Plaza Dr
Shenandoah, TX 77380-3242
Registry dates
- Enumerated
- 2007-12-01
- Last updated
- 2008-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.