Provider Demographics
NPI:1366449209
Name:HAMMETT, ALBERT CLAY (MD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:CLAY
Last Name:HAMMETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 122152
Mailing Address - Street 2:DEPT 2152
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75312-2152
Mailing Address - Country:US
Mailing Address - Phone:337-494-2919
Mailing Address - Fax:337-494-3069
Practice Address - Street 1:1717 OAK PARK BLVD
Practice Address - Street 2:2ND FL
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-8991
Practice Address - Country:US
Practice Address - Phone:337-494-3278
Practice Address - Fax:337-494-6969
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2016-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA019890207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1910856Medicaid
LA110224634OtherRR MEDICARE
LAE86527Medicare UPIN
LA5N5316833Medicare PIN