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NPI Code Detail

MEDICARE: ASHLEY NICOLE HAMILTON

MEDICARE:   ASHLEY NICOLE HAMILTON
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
1363A00000XPhysician Assistant
2363A00000XPhysician AssistantPA16393TX

General Provider Information

NPI Number : 1184358863
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY NICOLE HAMILTON
Provider Business Mailing Address
First Line : 901 N GALLOWAY AVE STE 107
Second Line :
City : MESQUITE
State : TX
Zip : 75149-7418
Country : US
Telephone Number : 915-861-4515
Fax Number :
Provider Business Practice Location Address
First Line : 901 N GALLOWAY AVE STE 107
Second Line :
City : MESQUITE
State : TX
Zip : 75149-7418
Country : US
Telephone Number : 972-288-1084
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2022
Last Update Date : 10/24/2023

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Directions to “ ASHLEY NICOLE HAMILTON ” Practice Location

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