MEDICARE: MR. JULIUS HAMILTON III

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	32547	CA
2	235Z00000X	Speech-Language Pathologist	117533	TX
3	235Z00000X	Speech-Language Pathologist	6424	LA

General Provider Information

NPI Number	:	1275941171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JULIUS HAMILTON III

Provider Business Mailing Address
First Line	:	3030 N HAMPTON RD
Second Line	:	APT. 4303
City	:	DALLAS
State	:	TX
Zip	:	75212-3785
Country	:	US
Telephone Number	:	504-320-9351
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 NORTH HAMPTON ROAD
Second Line	:	APT. 4303
City	:	DALLAS
State	:	TX
Zip	:	75212
Country	:	US
Telephone Number	:	504-320-9351
Fax Number	:

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

Provider Enumeration Date	:	07/24/2014
Last Update Date	:	09/25/2024

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Directions to “ MR. JULIUS HAMILTON III ” Practice Location

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