Basic Information
| Provider Information | |||||||||
| NPI: | 1093907628 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | PRIMARY HEALTH NETWORK OF SOUTH TEXAS | ||||||||
| LastName: | |||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | HUNTER A. HAMMILL, M.D. | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7400 FANNIN ST | ||||||||
| Address2: | SUITE 1160 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770541920 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137998994 | ||||||||
| FaxNumber: | 7137919931 | ||||||||
| Practice Location | |||||||||
| Address1: | 7400 FANNIN ST | ||||||||
| Address2: | SUITE 1160 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770541920 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137998994 | ||||||||
| FaxNumber: | 7137919931 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2007 | ||||||||
| LastUpdateDate: | 08/17/2007 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | HAMMILL | ||||||||
| AuthorizedOfficialFirstName: | HUNTER | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 7137998994 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | PRIMARY HEALTH NETWORK OF SOUTH TEXAS | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.