# DR. DOUGLAS ODIN HANSEN

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

## Provider details

- **NPI number:** 1598012148
- **Gender:** Man
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | T45-2012 | TX | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 2163 | TX | Yes |

## Other

- **Enumeration date:** 08/13/2012
- **Last updated:** 04/13/2023