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NPI Code Detail

MEDICARE: MS. DANIELLE ELIZABETH HANSELL PA-C

MEDICARE: MS. DANIELLE ELIZABETH HANSELL PA-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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1811738230
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANIELLE ELIZABETH HANSELL PA-C
Provider Business Mailing Address
First Line : 1320 S UNIVERSITY DR STE 500
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-5732
Country : US
Telephone Number : 817-321-0404
Fax Number :
Provider Business Practice Location Address
First Line : 1320 S UNIVERSITY DR STE 500
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-5732
Country : US
Telephone Number : 817-321-0499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2024
Last Update Date : 01/20/2026

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