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Individual
MARY M HAMMACK
Active
Individual
MARY M HAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H6269
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116942701
—
TX
01
—
1487817151
GROUP NPI
TX
01
—
8BL891
BCBS
—
01
—
DN8858
RAILROAD MEDICARE GROUP PTAN
TX
01
—
P00644332
RAILROAD MEDICARE PTAN
TX
Enumeration date
08/04/2006
Last updated
12/23/2008
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