Individual
GREGORY WAYNE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6100 HARRIS PKWY, SUITE 240, FORT WORTH, TX 76132-4101
(817) 504-5699
Mailing address
8 PARK LN, BENBROOK, TX 76132-1027
(817) 504-5699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101102749
VA
207R00000X
Internal Medicine Physician
Primary
M3571
TX
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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