Provider Demographics
NPI:1487729851
Name:HAMILTON, HEATHER JANE (DC)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:JANE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 SAM BASS RD
Mailing Address - Street 2:STE 106B
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-2011
Mailing Address - Country:US
Mailing Address - Phone:512-341-0028
Mailing Address - Fax:512-341-9459
Practice Address - Street 1:110 N I H 35
Practice Address - Street 2:SUITE 260
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5003
Practice Address - Country:US
Practice Address - Phone:512-341-0028
Practice Address - Fax:512-341-9459
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9681111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor