Provider Demographics
NPI:1447257993
Name:HANSON, ANTHONY K (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:K
Last Name:HANSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19502 MCKAY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5720
Mailing Address - Country:US
Mailing Address - Phone:281-540-8779
Mailing Address - Fax:281-540-8798
Practice Address - Street 1:19502 MCKAY DR STE 200
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5720
Practice Address - Country:US
Practice Address - Phone:281-540-8779
Practice Address - Fax:281-540-8798
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9082207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10015020OtherAMERIGROUP
TX31-00320OtherEVERCARE
TX5385102OtherATENA
TX611460423OtherHUMANA
TX8415OtherMHHNP
CAXPY205690Medicaid
TX018064OtherKIDNEY HEALTHCARE
TX582458OtherAHI
TX8703070OtherCIGNA
TX8M0160OtherBCBS
TX138385313Medicaid
TX611460423OtherTRICARE
TX138385314Medicaid
TX395777OtherWELLCARE
TX64274OtherMSCH
TX904955OtherFIRST HEALTH
TX100138385602OtherUNITED HEATLHCARE
LA1633020Medicaid
KS200426540AMedicaid
TXMDJ9082TXOtherWORKERS COMP
TXP00157715OtherPGBA
TX21439OtherHT