MEDICARE: PRISCILLA J HAMILTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	11128	TX

General Provider Information

NPI Number	:	1144964974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRISCILLA J HAMILTON

Provider Business Mailing Address
First Line	:	7220 SPRING OAK DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-3706
Country	:	US
Telephone Number	:	817-475-6594
Fax Number	:

Provider Business Practice Location Address
First Line	:	8400 MAIN ST
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-4118
Country	:	US
Telephone Number	:	817-547-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2022
Last Update Date	:	04/27/2022

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Directions to “ PRISCILLA J HAMILTON ” Practice Location

Language	Start Address	Practice Location

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