Hanson, Imelda Celine
Hanson, Imelda Celine is an individual health care provider with primary practice located at 6701 Fannin St , Houston TX 77030-2316. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as her primary health care specialty. Hanson, Imelda Celine can be contacted via phone (832) 822-3555.Contact Information
Primary practice address
6701 Fannin St
Houston TX 77030-2316
Phone: (832) 822-3555
Fax: (832) 825-3308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | F1610 | Texas |
Profile Details
| NPI number | 1396825659 |
|---|---|
| LBN Legal business name | Hanson, Imelda Celine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jan 14th, 2011 - about 13 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 | 1396825659 | NPPES |
| Texas | MEDICAID | P080029G8 |
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