Individual
DR. GREGORY WILLIAM HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5282 MEDICAL DR STE 310, SAN ANTONIO, TX 78229-6044
(210) 614-8687
Mailing address
37 FOREST DR, MANSFIELD, TX 76063-6615
(817) 988-1611
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
S2328
TX
Other
Enumeration date
04/27/2016
Last updated
07/10/2019
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