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Individual

NATHAN HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 354-5696
(806) 354-5693
Mailing address
1400 WALLACE BLVD, AMARILLO, TX 79106-1708
(806) 354-5696
(806) 354-5693

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT190363
PA
208600000X
Surgery Physician
Primary
Q0062
TX
2086S0102X
Surgical Critical Care Physician
Q0062
TX

Other

Enumeration date
05/03/2007
Last updated
06/16/2014
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