Provider Demographics
NPI:1992900807
Name:HAMMER, TERI L (RT, M)
Entity type:Individual
Prefix:MS
First Name:TERI
Middle Name:L
Last Name:HAMMER
Suffix:
Gender:F
Credentials:RT, M
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 215 F
Mailing Address - Street 2:
Mailing Address - City:CALL
Mailing Address - State:TX
Mailing Address - Zip Code:75933-9731
Mailing Address - Country:US
Mailing Address - Phone:409-382-7319
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARHF850232471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography