Organization
HANSON MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE HANSON (OWNER)
(512) 451-1562
Entity
Organization
Contact information
Practice address
937 REINLI ST, SUITE 4, AUSTIN, TX 78751-1514
(512) 451-1562
Mailing address
937 REINLI ST, SUITE 4, AUSTIN, TX 78751-1514
(512) 451-1562
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
517567
BCBS OF TEXAS
TX
Enumeration date
05/10/2007
Last updated
08/22/2020
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