| Doctor Name: | MR. TERRY WAYNE HANCOCK |
| NPI Number: | 1295734945 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSN, RN,BC FNP |
| License Number: | 42137 |
| Business Practice Address: | 200 Neel Ave Socorro, NM - 878014649 |
| Business Phone Number: | 5754189563 |
| Business Fax Number: | |
| Mailing Address: | 200 Neel Ave, SOCORRO |
| State: | NM |
| Postal Code: | 878014649 |
| Phone Number: | 5754189563 |
| Fax Number: | |
| NPI Enumeration Date: | 07/15/2005 |
| NPI Last Update Date: | 08/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 42137 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |