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Individual

MRS. SHANA L HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2105 SIDNEY BAKER ST STE 200, KERRVILLE, TX 78028-2563
(210) 899-6730
(833) 776-0625
Mailing address
2105 SIDNEY BAKER ST STE 200, KERRVILLE, TX 78028-2563
(210) 899-6730
(833) 776-0625

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0101245746
VA
174400000X
Specialist
T1957
TX
2080S0012X
Pediatric Sleep Medicine Physician
Primary
T1957
TX

Other

Enumeration date
07/26/2006
Last updated
01/02/2026
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