Organization
HANSON INTERNAL MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY WAYNE HANSON M.D. (OWNER/PHYSICIAN)
(817) 504-5699
Entity
Organization
Contact information
Practice address
6100 HARRIS PKWY, SUITE 240, FORT WORTH, TX 76132-4101
(817) 504-5699
Mailing address
6100 HARRIS PKWY, SUITE 240, FORT WORTH, TX 76132-4101
(817) 504-5699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M3571
TX
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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