Organization
HANSEN MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PINCKNEY (VP OF PAYER RELATIONS)
(469) 307-5822
Entity
Organization
Contact information
Practice address
4816 AURORA AVE N, SEATTLE, WA 98103-6518
(844) 633-4663
Mailing address
1575 HERITAGE DR, SUITE 205, MCKINNEY, TX 75069-3288
(844) 633-4663
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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