MEDICARE: JOHN HAMMONDS 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	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1134458144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN HAMMONDS MD PA

Provider Business Mailing Address
First Line	:	P.O. BOX 671213
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75367-1213
Country	:	US
Telephone Number	:	214-680-6754
Fax Number	:	214-987-1918

Provider Business Practice Location Address
First Line	:	7407 AZALEA LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-3639
Country	:	US
Telephone Number	:	214-550-5399
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN D HAMMONDS
Credential	:	M.D.
Telephone Number	:	214-680-6754

Provider Enumeration Date	:	12/22/2009
Last Update Date	:	02/23/2012

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