MEDICARE: HAMARQ

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	261Q00000X	Clinic/Center	9515	TX

General Provider Information

NPI Number	:	1467616649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMARQ

Provider Business Mailing Address
First Line	:	2821 MCKINNEY AVE STE 2
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-8549
Country	:	US
Telephone Number	:	214-999-1019
Fax Number	:

Provider Business Practice Location Address
First Line	:	2821 MCKINNEY AVE STE 2
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-8549
Country	:	US
Telephone Number	:	214-999-1019
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	FABIOLA HAMER
Credential	:
Telephone Number	:	214-999-1019

Provider Enumeration Date	:	07/16/2008
Last Update Date	:	07/16/2008

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Directions to “HAMARQ ” Practice Location

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