Organization Active NPI

Robert E. Hanson, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • Beaumont, TX
National Provider Identifier
1215268891
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E1329 Issued in TX
Legal business name
ROBERT E. HANSON, M.D., P.A.
Practice address
3470 Fannin St
Suite 1
Beaumont, TX 77701-3816
Phone
(409) 835-3350
Fax
(409) 835-4403
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert E Hanson Jr., M.D.
Title
Business Owner
Phone
(409) 835-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X E1329 TX Primary

Addresses

Primary practice location

3470 Fannin St
Suite 1
Beaumont, TX 77701-3816

Mailing address

3470 Fannin St
Suite 1
Beaumont, TX 77701-3816
Phone (409) 835-3350

Other identifiers 1

IdentifierTypeStateIssuer
136312902MedicaidTX

National Provider Directory

National Provider Directory

Locations

3470 Fannin St
Ste 1
Beaumont, TX 77701
Phone (409) 835-3350

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1215268891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 FANNIN ST",
            "address_2": "SUITE 1",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013816",
            "telephone_number": "409-835-3350",
            "fax_number": "409-835-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 FANNIN ST",
            "address_2": "SUITE 1",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013816",
            "telephone_number": "409-835-3350",
            "fax_number": "409-835-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. HANSON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "409-835-3350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E1329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136312902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.