Stephen Randall Hammock in Tyler - Medical
Stephen Randall Hammock - NPI 1033277884
Stephen Randall Hammock is a Medical in Tyler, Texas. Stephen Randall Hammock practices all healthcare services and medical treatments related to Medical. The NPI Number for Stephen Randall Hammock is 1033277884. The last update date is 2007-10-04.
Stephen Randall Hammock's current location address is 225 Bunker Dr, Tyler, Texas. You can contact this provider via phone number 9038948133. The mailing address for Stephen Randall Hammock is 225 Bunker Dr, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Randall Hammock |
|---|---|
| Address | 225 Bunker Dr, Tyler, Texas |
| Phone Number | 9038948133 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1033277884 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
| Address | 225 Bunker Dr |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757038873 |
| Phone Number | 9038948133 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA01835 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique identifier code issued to Stephen Randall Hammock by the Centers for Medicare & Medicaid Services?
The Stephen Randall Hammock has been assigned the NPI (National Provider Identifier) 1033277884. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Stephen Randall Hammock's facilities are geographically located?
The facilities of Stephen Randall Hammock are physically situated at the following location: 225 Bunker Dr, Tyler, TX, 757038873.
What is Stephen Randall Hammock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stephen Randall Hammock's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Stephen Randall Hammock receive its 1033277884 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Randall Hammock was assigned its 1033277884 by the Centers for Medicare & Medicaid Services on 2006-12-05.
As of what date were the details related to Stephen Randall Hammock most recently updated or revised?
The information pertaining to Stephen Randall Hammock, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-04.
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