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Polly B Hansen, MD
Diagnostic Radiology Physician in San Antonio, Texas
NPI 1902871668

Polly B Hansen is a Diagnostic Radiology Physician based in San Antonio, TX and is specialized in Diagnostic Radiology. Polly B Hansen practices in San Antonio, TX and has the professional credentials of MD. The NPI Number for Polly B Hansen is 1902871668 and holds a License No. E14264 (Texas).

The current practice location address for Polly B Hansen is 311 Camden St, San Antonio, TX and can be reached out via phone at 210-892-0228 and via fax at 210-455-0169. You can also correspond with Polly B Hansen through the mailing address at PO BOX 2947, SAN ANTONIO, TX - 78299-2947 (mailing address contact number: 210-892-0228).

Location: 311 Camden St, San Antonio, TX, 78299-2947
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902871668
Provider Name
Polly B Hansen
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
311 Camden St, San Antonio, TX, 78299-2947
Phone Number
210-892-0228
Fax Number
210-455-0169
Provider Enumeration Date
02/17/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
135798009 05 TX
institution
Provider Business Practice Location Address Details
Address
311 Camden St
City
San Antonio
State
Texas
Zip
78215-2012
Phone Number
210-892-0228
Fax Number
210-455-0169
person
Provider Business Mailing Address Details
Address
311 Camden St
City
San Antonio
State
Texas
Zip
78215-2012
Phone Number
210-892-0228
Fax Number
210-455-0169
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
H4379 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
E14264 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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