Individual
ANGELITO ANDRES HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J3808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050041814
RAILROAD - MEDICARE
TX
05
—
134543104
—
TX
01
—
1413071
LA - MEDICAID
LA
01
—
83Z562
TX-BLUE SHIELD
—
Enumeration date
01/10/2007
Last updated
08/12/2020
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