Individual
HOLLY L HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4102 24TH ST, STE 506, LUBBOCK, TX 79410-1806
(806) 725-5500
(806) 723-7920
Mailing address
3420 22ND PLACE, LUBBOCK, TX 79410
(806) 725-7800
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M2340
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141656201
—
TX
Enumeration date
04/11/2006
Last updated
07/29/2008
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