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Individual

DR. GREGORY ALAN HAMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19016 STONE OAK PKWY STE 220, SAN ANTONIO, TX 78258-3281
(210) 627-1904
(210) 610-0211
Mailing address
24723 CLEARWATER RUN, SAN ANTONIO, TX 78255-3479
(210) 787-9048
(210) 610-0211

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
H8107
TX
208600000X
Surgery Physician
A049434
CA
208600000X
Surgery Physician
Primary
H8107
TX
2086S0129X
Vascular Surgery Physician
A049434
CA
2086S0129X
Vascular Surgery Physician
H8107
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A494341
CA
01
1961534-01
MEDICAID TPI
TX
01
7131262
AETNA PIN
TX
01
8AQ890
BCBSTX
TX
Enumeration date
06/16/2005
Last updated
11/04/2024
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