MEDICARE: DALE JAMES HAMILTON 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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	F6705	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P01030985	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1982669875	OTHER	TX	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982669875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DALE JAMES HAMILTON MD

Provider Business Mailing Address
First Line	:	6550 FANNIN ST STE 1001
Second Line	:	SUITE SM1001
City	:	HOUSTON
State	:	TX
Zip	:	77030-2740
Country	:	US
Telephone Number	:	713-441-4452
Fax Number	:

Provider Business Practice Location Address
First Line	:	6550 FANNIN ST STE 1101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2740
Country	:	US
Telephone Number	:	713-441-4483
Fax Number	:

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	06/05/2019

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Directions to “ DALE JAMES HAMILTON MD” Practice Location

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