Hansen, Malinda

Hansen, Malinda is an individual health care provider with primary practice located at 855 Montgomery St , Fort Worth TX 76107-2553. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Hansen, Malinda can be contacted via phone (817) 735-2238.

Contact Information

Primary practice address
855 Montgomery St Fort Worth TX 76107-2553
Phone: (817) 735-2238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X R3097 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X BP10053131 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X R3097 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R3097 Texas

Profile Details

NPI number 1609257971
LBN Legal business name Hansen, Malinda
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2015
Last updated Mar 31st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609257971 NPPES
Kentucky MEDICAID 7100619250

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