Andrew L Hamby, MD | |
706 Turtle Creek Dr, Tyler, TX 75701-1833 | |
(903) 595-3942 | |
Not Available |
Full Name | Andrew L Hamby |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 706 Turtle Creek Dr, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760412209 | NPI | - | NPPES |
181341 | Other | MO | ANTHEM |
215364001 | Medicaid | AR | |
200014340A | Medicaid | OK | |
100643070A | Medicaid | KS | |
209083005 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | E-9583 (Arkansas) | Secondary |
208000000X | Pediatrics | 2003020131 (Missouri) | Secondary |
208000000X | Pediatrics | V0415 (Texas) | Primary |
Entity Name | Northwest Benton County Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871553073 PECOS PAC ID: 3577503689 Enrollment ID: O20050509000505 |
Mailing Address | Practice Location Address |
---|---|
Andrew L Hamby, MD #1 Children's Way, Slot 844, Acmg, Little Rock, AR 72202-3500 Ph: (501) 364-2090 | Andrew L Hamby, MD 706 Turtle Creek Dr, Tyler, TX 75701-1833 Ph: (903) 595-3942 |
Krystal Castle, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 305 W Rusk St, Tyler, TX 75701 Phone: 903-592-7304 | |
Daniel Jun Park, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-595-3942 | |
Mrs. Valerie B Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 E Richards St, Tyler, TX 75702 Phone: 903-531-9455 Fax: 903-526-3118 | |
Kristina Orey Mitchell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St Ste 100, Tyler, TX 75701 Phone: 903-596-3862 Fax: 903-590-5005 | |
Adelina G. Meadows, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 706 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-595-3942 | |
Dr. Michael David Austin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St, Tyler, TX 75701 Phone: 903-594-2450 Fax: 903-939-0610 | |
James Riley Davis, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 E 5th St Ste 100, Tyler, TX 75701 Phone: 903-590-5000 Fax: 903-590-5005 |