Individual
DEBRA J HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3415 JOHNSON AVE, SAN ANGELO, TX 76904-5554
(325) 515-5117
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170858801
—
TX
Enumeration date
05/09/2006
Last updated
04/30/2020
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