Provider Demographics
NPI:1083723282
Name:HANSER, NAOMI J (MD)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:J
Last Name:HANSER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1345 PHILOMENA ST
Mailing Address - Street 2:# 362
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-3210
Mailing Address - Country:US
Mailing Address - Phone:512-324-1000
Mailing Address - Fax:512-380-7551
Practice Address - Street 1:2909 N IH 35
Practice Address - Street 2:SUITE 101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-2304
Practice Address - Country:US
Practice Address - Phone:512-232-3900
Practice Address - Fax:512-471-1455
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2016-02-11
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Provider Licenses
StateLicense IDTaxonomies
TXL1062207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145556001Medicaid
8879MOMedicare ID - Type Unspecified
TX145556001Medicaid