Genova L Hansen (NPI# 1770041691, PAC ID# 0648513796) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1770041691 |
PAC ID by PECOS | 0648513796 |
Professional Enrollment ID | I20190514000458 |
Full Name | Genova L Hansen |
Organization Legal Name | SPANISH TRACE CLINIC |
Address |
600 W 52nd St Heritage Plaza Texarkana TX 75503-5922 |
Phone Number | 9037926700 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4880685098 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1205 E 35th St, Texarkana, AR 71854-2746 | 8707736745 | SPANISH TRACE CLINIC |
600 W 52nd St, Heritage Plaza, Texarkana, TX 75503-5922 | 9037926700 | SPANISH TRACE CLINIC |
Organization Legal Name | SPANISH TRACE CLINIC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maranda E Wells | Nurse Practitioner | Spanish Trace Clinic | 600 W 52nd St, Heritage Plaza, Texarkana, TX 75503-5922 |
Jack N Hehmeyer | Physician Assistant | Spanish Trace Clinic | 8 E Midway, Texarkana, TX 75501-5922 |
Cassondra K Houser | Nurse Practitioner | Spanish Trace Clinic | 1401 Hampton Rd, Texarkana, TX 75503-4600 |
Jessica M Upchurch | Nurse Practitioner | Spanish Trace Clinic | 1205 E 35th St, Texarkana, AR 71854-2746 |
Jeffery Nash | Nurse Practitioner | Spanish Trace Clinic | 600 W 52nd St, Heritage Plaza, Texarkana, TX 75503-5922 |
James W Mcraven | Nurse Practitioner | Spanish Trace Clinic | 1205 E 35th St, Texarkana, AR 71854-2746 |
Street Address |
600 W 52ND ST HERITAGE PLAZA |
City | TEXARKANA |
State | TX |
Zip | 75503-5922 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maranda E Wells | Nurse Practitioner | Spanish Trace Clinic | 600 W 52nd St, Heritage Plaza, Texarkana, TX 75503-5922 |
Jeffery Nash | Nurse Practitioner | Spanish Trace Clinic | 600 W 52nd St, Heritage Plaza, Texarkana, TX 75503-5922 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul Henry Pappas | Family Practice | Collom and Carney Clinic | 4110 Richmond Pl, Texarkana, TX 75503-0001 |
Puifun Lila Pappas | Family Practice | Collom and Carney Clinic | 4110 Richmond Pl, Texarkana, TX 75503-0001 |
Trevor J Swanson | Chiropractic | Swanson Family Chiropractic P.C. | 4206 Richmond Place, Texarkana, TX 75503-0003 |
Justin C Jobe | Chiropractic | Swanson Family Chiropractic P.C. | 4206 Richmond Place, Texarkana, TX 75503-0003 |
Michael C Saldino | Podiatry | 4104 Richmond Mdws, Texarkana, TX 75503-0067 | |
Chad Allen Jennings | Occupational Therapy | Healthcare Express LLP | 5610 Richmond Rd, Texarkana, TX 75503-0500 |
Gary Douglas Buckley | Physical Therapy | Healthcare Express LLP | 5610 Richmond Rd, Texarkana, TX 75503-0500 |
Rachel Ann Grimmett | Physical Therapy | Healthcare Express LLP | 5610 Richmond Rd, Texarkana, TX 75503-0500 |
Phillip Granville Pace | Family Medicine | C H Wilkinson Physician Network | 3502 Richmond Rd, Texarkana, TX 75503-0705 |
Priyal Patel | Family Medicine | C H Wilkinson Physician Network | 3502 Richmond Rd, Texarkana, TX 75503-0705 |
Find all physicians in zip 75503 |
City | TEXARKANA |
Zip Code | 75503 |
Specialty | NURSE PRACTITIONER |
City + Specialty | TEXARKANA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Genova L Hansen.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.