Individual
DR. JANE S HAMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H4111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-0622563
TAX NUMBER
TX
01
—
3245HM
BCBS PROVIDER ID
TX
01
—
4346804
AETNA PIN
TX
01
—
H4111
MEDICAL LICENSE NUMBER
TX
Enumeration date
05/08/2006
Last updated
07/05/2012
Update your record
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