Provider Demographics
NPI:1447490313
Name:HAMMILL SURGICAL SERVICES
Entity type:Organization
Organization Name:HAMMILL SURGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMILL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CSA
Authorized Official - Phone:281-463-6309
Mailing Address - Street 1:16322 WALL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-1272
Mailing Address - Country:US
Mailing Address - Phone:281-463-6309
Mailing Address - Fax:281-468-6835
Practice Address - Street 1:16322 WALL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-1272
Practice Address - Country:US
Practice Address - Phone:281-463-6309
Practice Address - Fax:281-468-6835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX660045363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty