Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 0101259615 | VA |
N | 208D00000X | General Practice Physician | BP10050230 | TX |
NPI | 1033538335 |
---|---|
Provider Name | Alan Hans I |
First Address | Jbsa Ft Sam Houston, TX 78234-4504 |
Second Address | El Paso, TX 79920-7992 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 30/10/2020 |