Individual
DANIEL CHARLES HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
730 FORRESTAL ST, KINGSVILLE, TX 78363-5112
(361) 516-6160
Mailing address
2037 OVERLAND TRL, CORPUS CHRISTI, TX 78410-1857
(361) 688-4296
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/27/2006
Last updated
08/31/2007
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