Individual
NATHANIEL STEVEN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6451 BRENTWOOD STAIR RD STE 200, FORT WORTH, TX 76112-3200
(817) 496-9700
Mailing address
6451 BRENTWOOD STAIR RD STE 200, FORT WORTH, TX 76112-3200
(817) 496-9700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T4757
TX
Other
Enumeration date
04/01/2020
Last updated
07/14/2023
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