Individual
CODY HAMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 747-8033
Mailing address
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 747-8033
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1226337
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
913391
TX
Other
Enumeration date
04/10/2025
Last updated
02/04/2026
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