Organization
HANSEN CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN JOSEPH HANSEN DC (CEO)
(409) 457-6209
Entity
Organization
Contact information
Practice address
1504 W LEAGUE CITY PKWY STE 100, LEAGUE CITY, TX 77573-7337
(409) 457-6209
Mailing address
1504 W LEAGUE CITY PKWY STE 100, LEAGUE CITY, TX 77573-7337
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
562600
MEDICARE
TX
Enumeration date
11/07/2016
Last updated
06/06/2017
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