Individual
DR. TIMOTHY C. HAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 SAM HOUSTON JONES PKWY, SUITE 102, LAKE CHARLES, LA 70611-5644
(337) 430-4262
(337) 430-4263
Mailing address
919 HIDDEN RDG, 6TH FLOOR, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-2609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.203766
LA
207RI0200X
Infectious Disease Physician
MD.203766
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106686
—
LA
Enumeration date
11/16/2007
Last updated
09/17/2016
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