Individual
TRAVIS W HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18220 STATE HIGHWAY 249, SUITE 400, HOUSTON, TX 77070-4347
(281) 737-0999
(281) 737-0926
Mailing address
18220 STATE HIGHWAY 249, SUITE 400, HOUSTON, TX 77070-4347
(281) 737-0999
(281) 737-0926
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L4423
TX
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
L4423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163086502
—
TX
05
—
163086503
—
TX
01
—
1780666024
BLUE CROSS BLUE SHIELD
TX
01
—
601771109
US DEPT OF LABOR
—
01
—
610197301 CENTERFIEL
US DEPT OF LABOR
TX
01
—
610197302 FANNIN
US DEPT OF LABOR
TX
01
—
616771101
US DEPT OF LABOR
—
01
—
616771105
US DEPT OF LABOR
—
01
—
616771110
US DEPT OF LABOR
—
01
—
8DY868
BLUE CROSS BLUE SHIELD
TX
01
—
P00931461
MEDICARE RR
TX
01
—
P01055683
RR MEDICARE
TX
01
—
P01258265
MEDICARE RR
TX
Enumeration date
11/14/2005
Last updated
02/24/2014
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