MEDICARE: HAMMILL SURGICAL SERVICES

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	363AS0400X	Surgical Physician Assistant	660045	TX

General Provider Information

NPI Number	:	1447490313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMMILL SURGICAL SERVICES

Provider Business Mailing Address
First Line	:	16322 WALL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-1272
Country	:	US
Telephone Number	:	281-463-6309
Fax Number	:	281-468-6835

Provider Business Practice Location Address
First Line	:	16322 WALL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-1272
Country	:	US
Telephone Number	:	281-463-6309
Fax Number	:	281-468-6835

Authorized Official
Title or Position	:	OWNER
Name	:	BARBARA HAMMILL
Credential	:	R.N., CSA
Telephone Number	:	281-463-6309

Provider Enumeration Date	:	03/04/2009
Last Update Date	:	03/04/2009

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