# ALLYSON A HANSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1437504040
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E-11171 | AR | Yes |
| 207Q00000X | Family Medicine Physician | S4313 | TX | — |

## Other

- **Enumeration date:** 05/02/2016
- **Last updated:** 04/26/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1F4924 | MEDICARE | TX |
| 01 | — | 1H7120 | MEDICARE | AR |
| 01 | — | 2R8738 | MEDICARE | AR |
| 01 | — | P02599433 | RR MCR | TX |
