Individual
BRENT ALLEN HAMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
P O B 840853 SUITE 360, DALLAS, TX 75284-0001
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
M4805
TX
207L00000X
Anesthesiology Physician
Primary
M4805
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199000401
—
TX
01
—
8BW945
BCBS
TX
01
—
P00679408
RAILROAD
TX
Enumeration date
03/29/2007
Last updated
06/29/2021
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