Organization
COLE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER JOHN HANSSEN M.D. (PHYSICIAN)
(469) 298-3640
Entity
Organization
Contact information
Practice address
4716 ALLIANCE BLVD, SUITE 218, PLANO, TX 75093-5371
(469) 298-3640
(469) 298-3646
Mailing address
4716 ALLIANCE BLVD, SUITE 218, PLANO, TX 75093-5371
(469) 298-3640
(469) 298-3646
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178660001
—
TX
05
—
178660002
—
TX
Enumeration date
02/20/2007
Last updated
06/07/2010
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