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Individual

JAMES HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3724 EXECUTIVE CENTER DR STE G10, AUSTIN, TX 78731-1665
(512) 345-5925
(512) 343-7113
Mailing address
3724 EXECUTIVE CENTER DR STE G10, AUSTIN, TX 78731-1665
(512) 345-5925
(512) 343-7113

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
H2134
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122912202
TX
01
MDH2134
WORKERS COMPENSATION
TX
Enumeration date
08/30/2006
Last updated
01/29/2010
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