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PATRICIA KAY MILLER HAMRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
520 E 6TH ST, ODESSA, TX 79761-4527
(970) 708-9392
Mailing address
520 E 6TH ST, ODESSA, TX 79761-4527
(970) 708-9392

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14009
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009936891
AL
05
009971765
AL
05
009971775
AL
05
009971785
AL
05
009971795
AL
01
010033CE49999
SECTION 1011
AL
01
051524740
BLUE CROSS
AL
01
051524741
BLUE CROSS
AL
01
051524743
BLUE CROSS
AL
01
051525047
BLUE CROSS
AL
01
051534282
BLUE CROSS
AL
01
06522531
MISSISSIPPI MEDICAID
MS
01
300059305
RAILROAD MEDICARE
AL
01
E49999
VIVA
AL
Enumeration date
06/23/2006
Last updated
02/24/2011
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