Individual provider · Type 1 NPI

Michael Dillon Hannasch, PA-C

Surgical Physician Assistant · Victoria, TX

NPI number 1588038152 Active

Practice location

105 Spring Green Blvd Ste 300
Victoria, TX 77904-7102

Fax (888) 849-3841

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA10395 (TX)
Surgical Physician Assistant Primary 363AS0400XPA10395 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1588038152

Michael Dillon Hannasch, PA-C's National Provider Identifier is 1588038152, issued on Nov 19, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Victoria, TX. The record was last updated on Dec 12, 2025.