Darla Jo Hanson
LBN: Darla Jo Hanson
Darla Jo Hanson is an health care organization with primary practice located at 4101 E 42Nd St Music City Mall #95, Odessa TX 79762-7239. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Darla Jo Hanson can be contacted via phone (432) 366-1158, or through Hanson, Darla Jo via phone (432) 366-1158.
Contact Information
Primary practice address
4101 E 42Nd St Music City Mall #95
Odessa TX 79762-7239
Phone: (432) 366-1158
Fax: (432) 366-1158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1912011602 |
|---|---|
| LBN Legal business name | Darla Jo Hanson |
| DBA Doing business as | |
| Authorized official | Hanson, Darla Jo CMF |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jun 13th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912011602 | NPPES |
| Texas | MEDICAID | 0107997-01 | |
| Texas | Other | 103263100 | |
| Texas | Other | 530030 |
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