Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | N9564 | TX |
NPI | 1023218906 |
---|---|
Provider Name | Paul Adrian Hansen |
First Address | Plano, TX 75075-6174 |
Second Address | Plano, TX 75075-6174 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2007 |
Last Update Date | 27/01/2022 |