Brenda J. Hampton, M.d., P.a. | |
1815 Old Mill Run Garland TX 75042-4214 | |
(972) 530-1582 | |
(972) 675-4959 |
Full Name | Brenda J. Hampton, M.d., P.a. |
---|---|
Speciality | Family Medicine |
Location | 1815 Old Mill Run, Garland, Texas |
Authorized Official Name and Position | Brenda Joyce Hampton (PRESIDENT) |
Authorized Official Contact | 9725301582 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Brenda J. Hampton, M.d., P.a. 1815 Old Mill Run Garland TX 75042-4214 Ph: (972) 530-1582 | Brenda J. Hampton, M.d., P.a. 1815 Old Mill Run Garland TX 75042-4214 Ph: (972) 530-1582 |
NPI Number | 1598967135 |
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Provider Enumeration Date | 06/05/2007 |
Last Update Date | 06/04/2020 |
Medicare PECOS PAC ID | 1153358882 |
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Medicare Enrollment ID | O20050725000300 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598967135 | NPI | - | NPPES |
8F0600 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L2922 (Texas) | Primary |
Provider Name | Brenda J Hampton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326021072 PECOS PAC ID: 5597791467 Enrollment ID: I20050712000727 |
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