Individual
MR. RICHARD LEE HANSON JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
10150 ALAMEDA AVE, SOCORRO, TX 79927-1600
(915) 937-2322
(915) 937-2323
Mailing address
1720 LIONS GATE LN, EL PASO, TX 79936-4468
(915) 276-3004
(915) 849-0779
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0452
TX
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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