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NPI Code Detail

MEDICARE: DEBRA LYN HAMMOND MD

MEDICARE: DEBRA LYN HAMMOND MD
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
1207Q00000XFamily Medicine PhysicianJ8565TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1270273YM5UOTHERTXMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194789420
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA LYN HAMMOND MD
Provider Business Mailing Address
First Line : PO BOX 840026
Second Line :
City : DALLAS
State : TX
Zip : 75284-0026
Country : US
Telephone Number : 806-212-6965
Fax Number : 806-212-6278
Provider Business Practice Location Address
First Line : 3501 S SONCY RD STE 150
Second Line :
City : AMARILLO
State : TX
Zip : 79119-6426
Country : US
Telephone Number : 806-212-6353
Fax Number : 806-212-0558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 07/21/2022

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