Individual
MS. JESSICA LYNN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4141 VISTA RD, PASADENA, TX 77504-2113
(713) 947-3100
(713) 947-6103
Mailing address
6400 FANNIN ST, SUITE 2070, HOUSTON, TX 77030-1521
(713) 704-6731
(713) 704-1796
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08088
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00106W
HARRIS COUNTY GRP MDCR PTAN
TX
01
—
0035TD
BCBSTX GRP RECORD NUMBER
TX
01
—
00X185
BRAZORIA COUNTY GRP PTAN
TX
01
—
153449704
HARRIS COUNTY GRP TPI
TX
01
—
274019YNBT
MEDICARE PTAN FOR HARRIS CO
TX
01
—
274019YPXV
MEDICARE PTAN FOR BRAZORIA CO
TX
01
—
302679101
BRAZORIA COUNTY GRP TPI
TX
01
—
DB6392
GRP RAILROAD MDCR PTAN
TX
Enumeration date
01/29/2013
Last updated
02/02/2016
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