Provider Demographics
NPI:1073513586
Name:HAMBERGER, ARTHUR DONALD (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:DONALD
Last Name:HAMBERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8711 STABLE CREST BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-7032
Mailing Address - Country:US
Mailing Address - Phone:713-812-8423
Mailing Address - Fax:713-867-4611
Practice Address - Street 1:1631 NORTH LOOP W
Practice Address - Street 2:SUITE 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1529
Practice Address - Country:US
Practice Address - Phone:713-867-4668
Practice Address - Fax:713-867-4611
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE41542085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE4154OtherTEXAS LICENSE #
TXP080R2766Medicaid
TXJ0032281OtherDPS #
TXJ0032281OtherDPS #
AH7396559OtherDEA #
TX00SK494Medicare ID - Type Unspecified