MR. Matthew Vernon Hansen, PA-C

NPI #1871686444 in Randolph, Texas

Provider Information

NPI Number
1871686444
Entity Type
Individual
Name
MR. Matthew Vernon Hansen, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Oct 2, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
221 3RD ST WEST
Address 2
12 MEDICAL GROUP
State
Texas
ZIP Code
78150-4801
Phone
(210) 652-9836

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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