Individual
COLLIN EDWARD HAMMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 UNIVERSITY DR, HOUSTON, TX 77004-6876
(972) 302-8571
Mailing address
7900 N STADIUM DR APT 82, HOUSTON, TX 77030-4417
(972) 302-8571
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37355480
DRIVER LICENSE
TX
Enumeration date
04/20/2022
Last updated
04/20/2022
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