Individual
ADJOA A HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1109 E BROADWAY ST, CUERO, TX 77954-2108
(361) 275-2800
Mailing address
1109 E BROADWAY ST, CUERO, TX 77954-2108
(361) 275-2800
(361) 275-8791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P0404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0404
TX STATE LICENSE
TX
Enumeration date
08/25/2011
Last updated
02/02/2024
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