1215335260 NPI number — A. SCOTT HAMILTON, M.D., D.C., P.A.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215335260 NPI number — A. SCOTT HAMILTON, M.D., D.C., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A. SCOTT HAMILTON, M.D., D.C., P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1215335260
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/18/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4347 W NORTHWEST HWY
Provider Second Line Business Mailing Address:
STE 130 PMB 136
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75220-3866
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-363-5859
Provider Business Mailing Address Fax Number:
888-507-0227

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3304 COLORADO BLVD
Provider Second Line Business Practice Location Address:
STE 101
Provider Business Practice Location Address City Name:
DENTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76210-6872
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-363-5859
Provider Business Practice Location Address Fax Number:
888-507-0227
Provider Enumeration Date:
12/08/2014

Additional Information

Authorized Official

Authorized Official Last Name:
HAMILTON
Authorized Official First Name:
ALAN
Authorized Official Middle Name:
SCOTT
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
469-363-5859

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  P3633 , 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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