IndividualActive
Matthew Hansen, PA-C
NPI 1871686444 · Medical Physician Assistant · Randolph, TX
Provider details
- NPI number
- 1871686444
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 1025979
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
221 3rd St West
12 Medical Group
Randolph, TX 78150-4801
Phone: (210) 652-9836
Approximate (ZIP-level) locationGet directions
Mailing address
3331 Trailway Park
San Antonio, TX 78247
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.