MEDICARE: HAMILTON CALDER

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	122300000X	Dentist	20941	TX
2	1223G0001X	General Practice Dentistry	20941	TX

General Provider Information

NPI Number	:	1043619216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAMILTON CALDER

Provider Business Mailing Address
First Line	:	15303 BANDERA FALLS BND
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-6112
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5505 LOUETTA RD
Second Line	:	SUITE A
City	:	SPRING
State	:	TX
Zip	:	77379-7870
Country	:	US
Telephone Number	:	281-376-4533
Fax Number	:

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

Provider Enumeration Date	:	08/13/2014
Last Update Date	:	08/13/2014

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Directions to “ HAMILTON CALDER ” Practice Location

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