MR. MATTHEW VERNON HANSEN PA-C NPI 1871686444

NPI Information

  • NPI: 1871686444
  • Provider Name: MR. MATTHEW VERNON HANSEN, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 221 3RD ST WEST
    12 MEDICAL GROUP
    RANDOLPH, TX
    ZIP 78150
  • Phone: (210) 652-9836

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NPI Details

MR. Matthew Vernon Hansen, PA-C is a medical physician assistant in Randolph, TX. MR. Matthew Vernon Hansen, PA-C NPI is 1871686444. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

221 3RD ST WEST
12 MEDICAL GROUP
RANDOLPH, TX
ZIP 78150-801
Phone: (210) 652-9836

The NPI 1871686444 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical1025979Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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