Individual
MRS. BRENDA A HAMILTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4500 SPRING AVE, DALLAS, TX 75210-1350
(214) 670-7664
(214) 670-8036
Mailing address
947 OAK FOREST DR, DALLAS, TX 75232-1227
(214) 376-3361
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
425599
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000418
—
TX
Enumeration date
08/18/2005
Last updated
07/09/2007
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