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Organization

M.K. HAMZA PH.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
M.K. HAMZA (OWNER)
(409) 729-0400
Entity
Organization

Contact information

Practice address
2300 HIGHWAY 365, STE 110, NEDERLAND, TX 77627-6256
(409) 729-0400
(409) 729-0453
Mailing address
2300 HIGHWAY 365, STE 110, NEDERLAND, TX 77627-6256
(409) 729-0400
(409) 729-0453

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33373
TX
103TC2200X
Clinical Child & Adolescent Psychologist
33373
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
185694001
TX
Enumeration date
08/29/2007
Last updated
10/20/2008
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