Individual
LAWRENCE HAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390
(214) 648-6400
(214) 648-5461
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(469) 291-3369
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
070227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175475601
—
TX
05
—
175475602
—
TX
01
—
85162U
BLUE CROSS BLUE SHIELD
TX
01
—
88596U
BLUE CROSS BLUE SHIELD
TX
01
—
P00303547
RAILROAD MEDICARE
TX
Enumeration date
01/10/2007
Last updated
08/31/2018
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