MEDICARE: DR. KRISTY HAMILTON M.D.

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	208200000X	Plastic Surgery Physician	R1765	TX

General Provider Information

NPI Number	:	1629496443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTY HAMILTON M.D.

Provider Business Mailing Address
First Line	:	3767 BELLAIRE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1206
Country	:	US
Telephone Number	:	713-305-3470
Fax Number	:

Provider Business Practice Location Address
First Line	:	3720 WESTHEIMER RD STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5277
Country	:	US
Telephone Number	:	713-770-6257
Fax Number	:

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

Provider Enumeration Date	:	03/29/2014
Last Update Date	:	08/28/2024

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