Basic Information
Provider Information
NPI: 1588224067
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMMOND
FirstName: DANIELLE
MiddleName: ELIZABETH
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 4439
Address2:  
City: HOUSTON
State: TX
PostalCode: 772104439
CountryCode: US
TelephoneNumber: 7137922991
FaxNumber: 7137920896
Practice Location
Address1: 1515 HOLCOMBE BLVD
Address2:  
City: HOUSTON
State: TX
PostalCode: 770304000
CountryCode: US
TelephoneNumber: 7137926161
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/18/2019
LastUpdateDate: 11/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate: 01/27/2020
NPIReactivationDate: 02/24/2020
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003X47425TXY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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