Provider Demographics
NPI:1871554832
Name:HAMMERICK, JOHN MARTIN JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MARTIN
Last Name:HAMMERICK
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:5920 SARATOGA BLVD
Mailing Address - Street 2:SUITE 425
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414
Mailing Address - Country:US
Mailing Address - Phone:361-994-4880
Mailing Address - Fax:361-994-4890
Practice Address - Street 1:5920 SARATOGA BLVD
Practice Address - Street 2:SUITE 425
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414
Practice Address - Country:US
Practice Address - Phone:361-994-4880
Practice Address - Fax:361-994-4890
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2010-07-12
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Provider Licenses
StateLicense IDTaxonomies
TXD7073207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128327705Medicaid
TX083404601Medicaid
TX00K06JMedicare ID - Type Unspecified
TXB23285Medicare UPIN
TX128327705Medicaid