Hamilton, Clint D.

Hamilton, Clint D. is an individual health care provider with primary practice located at 815 Pennsylvania Ave , Fort Worth TX 76104-2224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hamilton, Clint D. can be contacted via phone (817) 321-0387.

Contact Information

Primary practice address
815 Pennsylvania Ave Fort Worth TX 76104-2224
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X L6416 Texas

Profile Details

NPI number 1164421095
LBN Legal business name Hamilton, Clint D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Aug 15th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164421095 NPPES
Texas MEDICAID 160285601
Texas MEDICAID 1602856-07
Texas MEDICAID 160285603

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