| Hanson Internal Medicine, P.a. | |
|
6100 Harris Pkwy Suite 240 Fort Worth TX 76132-4101 | |
| (817) 504-5699 | |
| Not Available |
| Full Name | Hanson Internal Medicine, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6100 Harris Pkwy, Fort Worth, Texas |
| Authorized Official Name and Position | Gregory Wayne Hanson (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8175045699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanson Internal Medicine, P.a. 6100 Harris Pkwy Suite 240 Fort Worth TX 76132-4101 Ph: (817) 504-5699 | Hanson Internal Medicine, P.a. 6100 Harris Pkwy Suite 240 Fort Worth TX 76132-4101 Ph: (817) 504-5699 |
| NPI Number | 1013022136 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0345246922 |
|---|---|
| Medicare Enrollment ID | O20061005000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013022136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M3571 (Texas) | Primary |
| Provider Name | Gregory W Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043280910 PECOS PAC ID: 4880690460 Enrollment ID: I20061005000200 |
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