Hanson Internal Medicine, P.A.

Internal Medicine in Fort Worth, TX. Organization (NPI-2).

NPI number1013022136

StatusActive

Last updated in NPPESAug 22, 2020

Details

NPI: 1013022136
Entity type: Organization (NPI-2)
Legal business name: Hanson Internal Medicine, P.A.
Organization subpart: No
Enumeration date: Aug 20, 2006
Last updated: Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	M3571	TX	Yes

Practice location

6100 Harris Pkwy
Suite 240
Fort Worth, TX 76132-4101

Phone 817-504-5699

Mailing address

6100 Harris Pkwy
Suite 240
Fort Worth, TX 76132-4101

Phone 817-504-5699

Authorized official

Gregory Wayne Hanson
Owner/Physician
8175045699

Is something wrong?

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Other Internal Medicine Physician providers in Fort Worth, TX

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