Provider Demographics
NPI:1629297973
Name:HANSEN, DENISE H (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:H
Last Name:HANSEN
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 W 31ST ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-7509
Mailing Address - Country:US
Mailing Address - Phone:713-890-2080
Mailing Address - Fax:207-407-7330
Practice Address - Street 1:701 W 31ST ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-7509
Practice Address - Country:US
Practice Address - Phone:713-890-2080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA05262207XX0801X, 363A00000X
NY23011818363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma