Individual
CODY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1626 FOREST LN S STE B, GARLAND, TX 75042-7943
(972) 272-5591
(972) 276-5413
Mailing address
1626 FOREST LN S STE B, GARLAND, TX 75042-7943
(972) 272-5591
(972) 276-5413
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
V7224
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
07/18/2025
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