1225162837 NPI number — LOIS M. HANSEN, M.A., L.P.C., L.P.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225162837 NPI number — LOIS M. HANSEN, M.A., L.P.C., L.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOIS M. HANSEN, M.A., L.P.C., L.P.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225162837
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3201 UNIVERSITY DR E
Provider Second Line Business Mailing Address:
SUITE 415
Provider Business Mailing Address City Name:
BRYAN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77802-3475
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
979-776-0289
Provider Business Mailing Address Fax Number:
979-774-9770

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3201 UNIVERSITY DR E
Provider Second Line Business Practice Location Address:
SUITE 415
Provider Business Practice Location Address City Name:
BRYAN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77802-3475
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
979-776-0289
Provider Business Practice Location Address Fax Number:
979-774-9770
Provider Enumeration Date:
03/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HANSEN
Authorized Official First Name:
LOIS
Authorized Official Middle Name:
MARY
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
979-776-0283

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com