Provider Demographics
NPI:1033110614
Name:LAWHON, PRICE HANSON (PA-C)
Entity type:Individual
Prefix:MR
First Name:PRICE
Middle Name:HANSON
Last Name:LAWHON
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 E SCHUSTER AVE STE 5B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4676
Mailing Address - Country:US
Mailing Address - Phone:915-544-3229
Mailing Address - Fax:915-544-3091
Practice Address - Street 1:1201 E SCHUSTER AVE STE 5B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4676
Practice Address - Country:US
Practice Address - Phone:915-544-3229
Practice Address - Fax:915-544-3091
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA03856363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B3988Medicare ID - Type UnspecifiedMEDICARE NUMBER
TXQ09439Medicare UPIN