Hanson, Holly L
Hanson, Holly L is an individual health care provider with primary practice located at 4102 24Th St Ste 506, Lubbock TX 79410-1806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hanson, Holly L can be contacted via phone (806) 725-5500.Contact Information
Primary practice address
4102 24Th St Ste 506
Lubbock TX 79410-1806
Phone: (806) 725-5500
Fax: (806) 723-7920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M2340 | Texas |
Profile Details
| NPI number | 1306809017 |
|---|---|
| LBN Legal business name | Hanson, Holly L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jul 29th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306809017 | NPPES |
| Texas | MEDICAID | 141656201 |
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