Provider Demographics
NPI:1154547974
Name:HAMRICK, THELMA LEONA (FNP-C)
Entity type:Individual
Prefix:MS
First Name:THELMA
Middle Name:LEONA
Last Name:HAMRICK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LEE
Other - Middle Name:K
Other - Last Name:HAMRICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:718 FIRESTONE DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-4990
Mailing Address - Country:US
Mailing Address - Phone:972-675-5393
Mailing Address - Fax:
Practice Address - Street 1:1441 N BECKLEY AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1201
Practice Address - Country:US
Practice Address - Phone:214-947-0960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0806182363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily