Individual
IMELDA CELINE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 822-3555
(832) 825-3308
Mailing address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 822-3555
(832) 825-3308
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
F1610
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P080029G8
—
TX
Enumeration date
10/17/2006
Last updated
01/14/2011
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