=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750687596
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DONALD S HANSER, MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/26/2011
-----------------------------------------------------
Last Update Date | 01/26/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 427 W 20TH ST SUITE 206
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77008-2441
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-864-8400
-----------------------------------------------------
Fax | 713-864-5235
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 427 W 20TH ST SUITE 206
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77008-2441
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-864-8400
-----------------------------------------------------
Fax | 713-864-5235
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. DONALD S HANSER
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 713-864-8400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number | E5777
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------