NPI 1124659636

Tanner Hanson, DO

Practitioner General Practice Physician Fort Hood, TX

Practice location

Address: 36065 Santa Fe Ave, Fort Hood, TX 76544-5060
Phone: (254) 288-8000

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 2432 (NE)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1124659636
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Feb 2020
Record last updated: 12 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.