Provider Demographics
NPI:1952824351
Name:HANSEN HEALTH SOLUTIONS PLLC
Entity Type:Organization
Organization Name:HANSEN HEALTH SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-460-6264
Mailing Address - Street 1:13402 WEST AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2029
Mailing Address - Country:US
Mailing Address - Phone:210-460-6264
Mailing Address - Fax:210-460-6263
Practice Address - Street 1:13402 WEST AVE STE 103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2029
Practice Address - Country:US
Practice Address - Phone:210-460-6264
Practice Address - Fax:210-460-6263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty