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NPI Code Detail

MEDICARE: CARL L HAMILTON III MD

MEDICARE: CARL L HAMILTON III MD
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
1207P00000XEmergency Medicine PhysicianE6088TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28S5977OTHERTXBCBS

General Provider Information

NPI Number : 1770545071
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL L HAMILTON III MD
Provider Business Mailing Address
First Line : PO BOX 201606
Second Line :
City : DALLAS
State : TX
Zip : 75320-1606
Country : US
Telephone Number : 972-758-3598
Fax Number :
Provider Business Practice Location Address
First Line : 900 8TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3902
Country : US
Telephone Number : 817-347-5830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 01/12/2009

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Directions to “ CARL L HAMILTON III MD” Practice Location

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