Organization
AUSTIN NEUROSURGICAL AND SPINE INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E HANSEN MD (OWNER)
(512) 345-5925
Entity
Organization
Contact information
Practice address
707 3RD ST, MARBLE FALLS, TX 78654-5720
(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
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085111501
—
TX
Enumeration date
07/08/2009
Last updated
07/08/2009
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