Provider Demographics
NPI:1467661702
Name:HAMMON, RAY (DC, NMD)
Entity type:Individual
Prefix:
First Name:RAY
Middle Name:
Last Name:HAMMON
Suffix:
Gender:M
Credentials:DC, NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5429 LAKEVIEW PKWY
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4126
Mailing Address - Country:US
Mailing Address - Phone:972-463-1744
Mailing Address - Fax:
Practice Address - Street 1:5429 LAKEVIEW PKWY
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4126
Practice Address - Country:US
Practice Address - Phone:972-463-1744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC2610111NN1001X
FLCH 3157111NN1001X
OK3238111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition