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Individual

MS. CORTNEY LYNN HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.-C.

Contact information

Practice address
12221 MERIT DR, SUITE 1610, DALLAS, TX 75251-2202
(214) 217-1900
(214) 217-1901
Mailing address
12221 MERIT DR, SUITE 1610, DALLAS, TX 75251-2202
(214) 217-1900
(214) 217-1901

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06750
TX
363AM0700X
Medical Physician Assistant
APPLICANT
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
217449201
TX
05
217449202
TX
Enumeration date
06/25/2010
Last updated
10/24/2011
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