Provider Demographics
NPI:1134458144
Name:JOHN HAMMONDS MD PA
Entity Type:Organization
Organization Name:JOHN HAMMONDS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HAMMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-680-6754
Mailing Address - Street 1:P.O. BOX 671213
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75367-1213
Mailing Address - Country:US
Mailing Address - Phone:214-680-6754
Mailing Address - Fax:214-987-1918
Practice Address - Street 1:7407 AZALEA LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-3639
Practice Address - Country:US
Practice Address - Phone:214-550-5399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-22
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty