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Organization
M HANSON INC
Active
Organization
M HANSON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK L HANSON D.C., L.AC (OWNER)
(214) 616-3355
Entity
Organization
Contact information
Practice address
1615 W OLEANDER ST, SUITE A, FORT WORTH, TX 76104-4025
(214) 616-3355
(817) 632-5007
Mailing address
1615 W OLEANDER ST, SUITE A, FORT WORTH, TX 76104-4025
(214) 616-3355
(817) 632-5007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4238
TX
171100000X
Acupuncturist
AC00179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080PX
DC, LAC
TX
01
—
8AK410
DC, LAC
TX
01
—
8M8486
DC, LAC
TX
01
—
ACN 672228
DC, LAC
TX
Enumeration date
08/23/2007
Last updated
04/16/2009
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