Individual
HANNAH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
900 8TH AVE, FORT WORTH, TX 76104-3902
(817) 336-2100
Mailing address
4169 ASHWORTH LN, COLUMBUS, IN 47201-8051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18229
TX
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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