Basic Information
| Provider Information | |||||||||
| NPI: | 1407893324 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HANS | ||||||||
| FirstName: | SARTAJ | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7719 S IH 35 STE 212 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782241134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8303204955 | ||||||||
| FaxNumber: | 8303204956 | ||||||||
| Practice Location | |||||||||
| Address1: | 311 CAMDEN ST STE 102 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2102819800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2006 | ||||||||
| LastUpdateDate: | 05/28/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 301496 | LA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RI0011X | R7474 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology | 207P00000X | 49296 | GA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | D0068293 | MD | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | MD430927 | PA | N | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 000959923E | 05 | GA | MEDICAID | P00306008 | 01 | GA | RAILROAD MEDICARE | OTHER |