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NPI Code Detail

MEDICARE: DR. MARK HANSES D.C.

MEDICARE: DR. MARK HANSES D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor13789TX

General Provider Information

NPI Number : 1417247115
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK HANSES D.C.
Provider Business Mailing Address
First Line : 3055 STILLHOUSE LAKE RD STE 207
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-8861
Country : US
Telephone Number : 254-221-7000
Fax Number :
Provider Business Practice Location Address
First Line : 3055 STILLHOUSE LAKE RD STE 207
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-8861
Country : US
Telephone Number : 254-221-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2011
Last Update Date : 08/24/2023

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