MEDICARE: H BRUCE HAMILTON, MD PA

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	207T00000X	Neurological Surgery Physician	K1462	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	DP7834	OTHER	TX	MEDICARE RAILROAD
6	0A5557	OTHER	TX	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	031740	OTHER	FIRSTCARE
2	99670	OTHER	SCOTT & WHITE
3	5292421	OTHER	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	8CF004	OTHER	BCBS

General Provider Information

NPI Number	:	1790013134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H BRUCE HAMILTON, MD PA

Provider Business Mailing Address
First Line	:	205 WOODHEW DR
Second Line	:	SUITE 200
City	:	WACO
State	:	TX
Zip	:	76712-6689
Country	:	US
Telephone Number	:	254-776-9775
Fax Number	:	254-776-9751

Provider Business Practice Location Address
First Line	:	205 WOODHEW DR
Second Line	:	SUITE 200
City	:	WACO
State	:	TX
Zip	:	76712-6689
Country	:	US
Telephone Number	:	254-776-9775
Fax Number	:	254-776-9751

Authorized Official
Title or Position	:	OWNER
Name	:	HAROLD BRUCE HAMILTON
Credential	:	M.D.
Telephone Number	:	254-776-9775

Provider Enumeration Date	:	11/23/2009
Last Update Date	:	10/20/2011

Similar Medicare Providers

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Practice Location Address:

205 WOODHEW DR , STE 200
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76712-6689

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1659483873 — MR. RANDY C GARDELL MD
Practice Location Address:

205 WOODHEW DR STE 110
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1265516207 — CENTRAL TEXAS NEUROLOGICAL ASSOCIATION
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1659682078 — CODY Z WILLIAMS PA-C
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205 WOODHEW DR STE 220
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76712-6689

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Practice Fax:

1114487360 — KY VIET DONG QUACH DO
Practice Location Address:

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1487601340 — TEXAS NEUROLOGICAL & PAIN INSTITUTE
Practice Location Address:

205 WOODHEW DR , SUITE 200
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Directions to “H BRUCE HAMILTON, MD PA ” Practice Location

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