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Organization
KATHY HANSEN, MD PA
Active
Organization
KATHY HANSEN, MD PA
Active
Other names
your family doktor
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY HANNEGAN (OFFICE MANAGER)
(281) 332-3713
Entity
Organization
Contact information
Practice address
17030 HIGHWAY 3, WEBSTER, TX 77598-4129
(281) 332-3713
Mailing address
17030 HIGHWAY 3, WEBSTER, TX 77598-4129
(281) 332-3713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H7197
TX
207Q00000X
Family Medicine Physician
K0491
TX
207Q00000X
Family Medicine Physician
L3928
TX
207Q00000X
Family Medicine Physician
L6058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80081Y
BCBS ID
TX
Enumeration date
06/15/2007
Last updated
06/25/2008
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