Organization
H BRUCE HAMILTON, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD BRUCE HAMILTON M.D. (OWNER)
(254) 776-9775
Entity
Organization
Contact information
Practice address
205 WOODHEW DR, SUITE 200, WACO, TX 76712-6689
(254) 776-9775
(254) 776-9751
Mailing address
205 WOODHEW DR, SUITE 200, WACO, TX 76712-6689
(254) 776-9775
(254) 776-9751
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
K1462
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031740
FIRSTCARE
—
01
—
0A5557
MEDICARE PTAN
TX
05
—
2091225-01
—
TX
01
—
5292421
AETNA
—
01
—
8CF004
BCBS
—
01
—
99670
SCOTT & WHITE
—
01
—
DP7834
MEDICARE RAILROAD
TX
Enumeration date
11/23/2009
Last updated
10/20/2011
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