Individual
THOMAS J HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4351 E LOHMAN AVE, SUITE 310, LAS CRUCES, NM 88011-8259
(575) 521-4808
(575) 521-4815
Mailing address
4351 E LOHMAN AVE, SUITE 310, LAS CRUCES, NM 88011-8259
(575) 521-4808
(575) 521-4815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17721
CO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD2010-0069
NM
207RP1001X
Pulmonary Disease Physician
6074
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84235772
—
NM
Enumeration date
07/10/2006
Last updated
09/30/2015
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