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

Table of content: (NPI 1215335260)

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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