Basic Information
Provider Information
NPI: 1467639468
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMILTON SPENCE
FirstName: ERIN
MiddleName: COLLEEN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HAMILTON
OtherFirstName: ERIN
OtherMiddleName: COLLEEN
OtherNamePrefix: MRS.
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 5
Mailing Information
Address1: 6431 FANNIN ST STE 3.232
Address2:  
City: HOUSTON
State: TX
PostalCode: 770301501
CountryCode: US
TelephoneNumber: 7135005727
FaxNumber:  
Practice Location
Address1: 6431 FANNIN ST STE 3.232
Address2:  
City: HOUSTON
State: TX
PostalCode: 770301501
CountryCode: US
TelephoneNumber: 7135005727
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/22/2008
LastUpdateDate: 01/22/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080N0001XBP40023311TXY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


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