Individual
RYAN D HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6606 LBJ FWY, STE 200, DALLAS, TX 75240
(972) 715-5000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M7244
TX
207L00000X
Anesthesiology Physician
MD.026059
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330798
—
MS
05
—
1051365
—
LA
05
—
190281902
—
TX
05
—
190281906
—
TX
01
—
190281907
MEDICAID CSHCN
TX
01
—
190281908
MEDICAID CSHCN
TX
01
—
8BX624
BCBS
TX
01
—
P00413427
RR MEDICARE
—
Enumeration date
08/01/2006
Last updated
06/17/2020
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