Provider Demographics
NPI:1205812955
Name:HAMMOND, PAMELA T (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:T
Last Name:HAMMOND
Suffix:
Gender:F
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 200993
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77216-0993
Mailing Address - Country:US
Mailing Address - Phone:281-784-1111
Mailing Address - Fax:281-784-1555
Practice Address - Street 1:504 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2808
Practice Address - Country:US
Practice Address - Phone:409-539-1111
Practice Address - Fax:409-788-8044
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6475207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1205812955OtherTRICARE SOUTH
TX8F9634OtherBCBSTX PROV NO
TX8M3083OtherBCBS
TX930117337OtherRAILROAD MCARE PROV NO
TX930127689OtherRR MCARE
TX138755717Medicaid
TX138755714Medicaid
TX138755715Medicaid
TX8B7183Medicare PIN
TX1205812955Medicare PIN
TX1205812955OtherTRICARE SOUTH
TXF92547Medicare UPIN
TX8A3490Medicare PIN
TX930127689OtherRR MCARE
TX8F9634OtherBCBSTX PROV NO