Provider Demographics
NPI:1558419192
Name:HAMILTON, ROBET MICHAEL (CSA)
Entity Type:Individual
Prefix:MR
First Name:ROBET
Middle Name:MICHAEL
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11629
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77391-1629
Mailing Address - Country:US
Mailing Address - Phone:832-559-3091
Mailing Address - Fax:832-559-3091
Practice Address - Street 1:7807 SHELBURNE CIR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-4687
Practice Address - Country:US
Practice Address - Phone:281-705-7587
Practice Address - Fax:832-559-3091
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical