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NPI Code Detail

MEDICARE: MS. CAROLYN LOUISE HANSEN

MEDICARE: MS. CAROLYN LOUISE HANSEN
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
1363AM0700XMedical Physician AssistantPA11549TX
22088F0040XUrogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianPA11549TX

General Provider Information

NPI Number : 1801309190
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROLYN LOUISE HANSEN
Provider Business Mailing Address
First Line : 1313 E 52ND ST APT 103
Second Line :
City : AUSTIN
State : TX
Zip : 78723-3001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3407 GLENVIEW AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78703-1448
Country : US
Telephone Number : 512-387-8349
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2017
Last Update Date : 01/19/2026

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Directions to “ MS. CAROLYN LOUISE HANSEN ” Practice Location

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