Provider Demographics
NPI:1164515243
Name:HAMILTON, HINTON H III (MD)
Entity Type:Individual
Prefix:
First Name:HINTON
Middle Name:H
Last Name:HAMILTON
Suffix:III
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:PO BOX 99371
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76199-0371
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-7347
Practice Address - Street 1:1500 COOPER ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2710
Practice Address - Country:US
Practice Address - Phone:682-885-4405
Practice Address - Fax:682-885-4407
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD7071207X00000X, 207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10028074OtherAMERIGROUP PIN
TX114494OtherSUPERIOR PIN
TX142805401Medicaid
TX4256135OtherAETNA PIN
TX4615576OtherCIGNA PIN
TX155708OtherPHCS PIN
TX88891XOtherBCBSTX IND PIN
TX142805403Medicaid
TX138412503Medicaid
TX729899OtherFIRSTHEALTH PIN
TX00U87ZOtherBCBSTX GRP PIN
TX114439100OtherFIRSTCARE PIN
TX128309OtherUHC PIN
TX138412510Medicaid
1750369203OtherGRP NPI NUMBER
TX138412510Medicaid
TX142805401Medicaid
TX114494OtherSUPERIOR PIN