Individual
MIRIAM L HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12319 N MOPAC EXPY, BLDG. C, STE. 100, AUSTIN, TX 78758-2403
(512) 837-3376
(512) 837-3377
Mailing address
12319 N MOPAC EXPY, BLDG. C, STE. 100, AUSTIN, TX 78758-2403
(512) 837-3376
(512) 837-3377
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M6174
TX
Other
Enumeration date
11/09/2006
Last updated
11/22/2013
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