Healthcare Provider Details

I. General information

NPI: 1649560095
Provider Name (Legal Business Name): HAMILTON MOVING & STORAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2011
Last Update Date: 04/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 RISING RIDGE DR
DE SOTO TX
75115-3860
US

IV. Provider business mailing address

550 RISING RIDGE DR
DESOTO TX
75115-3860
US

V. Phone/Fax

Practice location:
  • Phone: 469-337-5098
  • Fax: 650-577-4883
Mailing address:
  • Phone: 469-337-5098
  • Fax: 650-577-4883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number1162166
License Number StateTX

VIII. Authorized Official

Name: MR. GREGORY CARL HAMILTON
Title or Position: PRESIDENT OF OPERATIONS
Credential:
Phone: 469-337-5098