Individual
ANGELITO ANDRES HAM
Active
Individual
ANGELITO ANDRES HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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