Individual
TANNER HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 288-8000
Mailing address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2432
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2020
Last updated
08/12/2021
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