Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | H8109 | TX |
NPI | 1184690802 |
---|---|
Provider Name | Dr. Lisa Joy Hansard |
First Address | Austin, TX 78731 |
Second Address | Austin, TX 78731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 05/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F61329 | (02) | TX |