Organization
AUSTIN NEUROSURGICAL AND SPINE INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E HANSEN MD (PRESIDENT)
(512) 345-5925
Entity
Organization
Contact information
Practice address
3724 EXECUTIVE CENTER DR STE G10, AUSTIN, TX 78731-1665
(512) 345-5925
(512) 343-7113
Mailing address
3724 EXECUTIVE CENTER DR STE G10, AUSTIN, TX 78731-1665
(512) 345-5925
(512) 343-7113
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
H2134
TX
363A00000X
Physician Assistant
PA04626
TX
363A00000X
Physician Assistant
PA05193
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085111501
—
TX
01
—
MDH2134
WORKERS COMPENSATION
TX
Enumeration date
08/16/2006
Last updated
06/23/2009
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