Hansen, Matthew Vernon

Hansen, Matthew Vernon is an individual health care provider with primary practice located at 221 3Rd St West 12 Medical Group, Randolph TX 78150-4801. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Hansen, Matthew Vernon can be contacted via phone (210) 652-9836.

Contact Information

Primary practice address
221 3Rd St West 12 Medical Group Randolph TX 78150-4801
Phone: (210) 652-9836
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1025979

Profile Details

NPI number 1871686444
LBN Legal business name Hansen, Matthew Vernon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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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