Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mary R Hannaman, MD

Individual provider General Practice Physician · NPI 1255450797

Dr. Mary R Hannaman, MD is a General Practice Physician in Fort Worth, Texas. Practices as a sole proprietor and works from 3 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5012 Trinity Landing Dr W
Fort Worth, TX 76132-3736
Phone: (817) 269-6872
Fax: (817) 393-1798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7100 Trail Lake Dr, Fort Worth, TX 76123-1969 — (817) 269-6872
  • 5012 Trinity Landing Dr W, Fort Worth, TX 76132-3736 — (817) 269-6872

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence G7318 (TX)
General Practice Physician Taxonomy 208D00000X · Licence G7318 (TX)

Record details

NPI number1255450797
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 28, 2007
Last updated in NPPESAugust 23, 2019

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