MEDICARE: DR. TERRY LYNN HAMILTON D.C.

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	111N00000X	Chiropractor	5855	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346223435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRY LYNN HAMILTON D.C.

Provider Business Mailing Address
First Line	:	4519 N GARFIELD ST
Second Line	:	SUITE 1
City	:	MIDLAND
State	:	TX
Zip	:	79705-3415
Country	:	US
Telephone Number	:	432-685-0777
Fax Number	:	432-685-0778

Provider Business Practice Location Address
First Line	:	4519 N GARFIELD ST
Second Line	:	SUITE 1
City	:	MIDLAND
State	:	TX
Zip	:	79705-3415
Country	:	US
Telephone Number	:	432-685-0777
Fax Number	:	432-685-0778

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

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	02/24/2012

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