| Dr. Hunter Hansen, Pllc | |
|
8626 Tesoro Dr Ste 490 San Antonio TX 78217-6217 | |
| (210) 202-0100 | |
| Not Available |
| Full Name | Dr. Hunter Hansen, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8626 Tesoro Dr Ste 490, San Antonio, Texas |
| Authorized Official Name and Position | Hunter Hansen (RECEPTIONIST) |
| Authorized Official Contact | 2102020100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Hunter Hansen, Pllc 8626 Tesoro Dr Ste 490 San Antonio TX 78217-6217 Ph: () - | Dr. Hunter Hansen, Pllc 8626 Tesoro Dr Ste 490 San Antonio TX 78217-6217 Ph: (210) 202-0100 |
| NPI Number | 1386206605 |
|---|---|
| Provider Enumeration Date | 07/08/2019 |
| Last Update Date | 06/25/2021 |
| Certification Date | 06/25/2021 |
| Medicare PECOS PAC ID | 7810329893 |
|---|---|
| Medicare Enrollment ID | O20191112003405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386206605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Hunter Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760754501 PECOS PAC ID: 1355773334 Enrollment ID: I20191112003499 |
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