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NPI Code Detail

MEDICARE: EMILY DENISE HAMILTON FNP-BC

MEDICARE: EMILY DENISE HAMILTON FNP-BC
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
1363LF0000XFamily Nurse Practitioner786231TX

General Provider Information

NPI Number : 1538501317
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY DENISE HAMILTON FNP-BC
Provider Business Mailing Address
First Line : 4441 BRYANT IRVIN RD N
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-7338
Country : US
Telephone Number : 817-731-9400
Fax Number : 817-731-4282
Provider Business Practice Location Address
First Line : 4441 BRYANT IRVIN RD N
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-7338
Country : US
Telephone Number : 817-731-9400
Fax Number : 817-731-4282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2013
Last Update Date : 12/03/2014

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