1972856938 NPI number — MS. RENEE ALEXANDRIA HAMILTON CNA, BSW

Table of content: MS. RENEE ALEXANDRIA HAMILTON CNA, BSW (NPI 1972856938)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972856938 NPI number — MS. RENEE ALEXANDRIA HAMILTON CNA, BSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMILTON
Provider First Name:
RENEE
Provider Middle Name:
ALEXANDRIA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CNA, BSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972856938
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/16/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8701 GUSTINE LN
Provider Second Line Business Mailing Address:
5506
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77031-1611
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-867-5493
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8701 GUSTINE LN
Provider Second Line Business Practice Location Address:
5506
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77031-1611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-867-5493
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/16/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 376K00000X , with the licence number:  10072929 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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