Individual
DR. DOUGLAS ODIN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
915 GESSNER RD STE 650, HOUSTON, TX 77024-2523
(832) 668-5546
(713) 832-3048
Mailing address
915 GESSNER RD STE 650, HOUSTON, TX 77024-2523
(832) 668-5546
(713) 832-3048
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
T45-2012
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163
TEXAS TDLR
TX
Enumeration date
08/13/2012
Last updated
04/13/2023
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