Individual
GREGORY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1504 VICTORIA ST, BRENHAM, TX 77833-5890
(979) 942-0466
Mailing address
1504 VICTORIA ST, BRENHAM, TX 77833-5890
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
E4385
TX
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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