Healthcare Provider Details

I. General information

NPI: 1275574139
Provider Name (Legal Business Name): DAVID HAMER MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 08/18/2022
Certification Date: 08/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 ORCHARD ST
WEBSTER TX
77598-4110
US

IV. Provider business mailing address

530 ORCHARD ST
WEBSTER TX
77598-4110
US

V. Phone/Fax

Practice location:
  • Phone: 281-338-4004
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: ROSA SILVESTRE CRUZ
Title or Position: CREDENTIALING
Credential:
Phone: 281-338-4004