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Individual

DR. JANE S HAMNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5470 W. LOVERS LANE, SUITE 330, DALLAS, TX 75209
(214) 956-7337
(469) 364-8724
Mailing address
5470 W. LOVERS LANE, STE 330, DALLAS, TX 75209
(214) 956-7337
(469) 364-8724

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
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