Provider Demographics
NPI:1740268770
Name:UY TESY, HANSON (CRNA)
Entity type:Individual
Prefix:MR
First Name:HANSON
Middle Name:
Last Name:UY TESY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1893 MISTY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-6606
Mailing Address - Country:US
Mailing Address - Phone:832-643-6107
Mailing Address - Fax:
Practice Address - Street 1:1893 MISTY HOLLOW DR
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-6606
Practice Address - Country:US
Practice Address - Phone:832-643-6107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX621050367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered