Individual
ALLYSON A HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 E 20TH ST STE D, HOPE, AR 71801-8222
(870) 729-1911
(870) 729-1789
Mailing address
219 MEADOW RIDGE LN, HOPE, AR 71801-8998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-11171
AR
207Q00000X
Family Medicine Physician
S4313
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1F4924
MEDICARE
TX
01
—
1H7120
MEDICARE
AR
01
—
2R8738
MEDICARE
AR
01
—
P02599433
RR MCR
TX
Enumeration date
05/02/2016
Last updated
04/26/2023
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