Provider Demographics
NPI:1215335260
Name:A. SCOTT HAMILTON, M.D., D.C., P.A.
Entity type:Organization
Organization Name:A. SCOTT HAMILTON, M.D., D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DC
Authorized Official - Phone:469-363-5859
Mailing Address - Street 1:4347 W NORTHWEST HWY
Mailing Address - Street 2:STE 130 PMB 136
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75220-3866
Mailing Address - Country:US
Mailing Address - Phone:469-363-5859
Mailing Address - Fax:888-507-0227
Practice Address - Street 1:3304 COLORADO BLVD
Practice Address - Street 2:STE 101
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6872
Practice Address - Country:US
Practice Address - Phone:469-363-5859
Practice Address - Fax:888-507-0227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-08
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3633208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty