Provider Demographics
NPI:1821143389
Name:CESSAC, HAMILTON LEONARD III (NP)
Entity Type:Individual
Prefix:
First Name:HAMILTON
Middle Name:LEONARD
Last Name:CESSAC
Suffix:III
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1111 MEDICAL PLAZA DRIVE
Mailing Address - Street 2:SUITE 170
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380
Mailing Address - Country:US
Mailing Address - Phone:281-444-1303
Mailing Address - Fax:281-444-5161
Practice Address - Street 1:1111 MEDICAL PLAZA DRIVE
Practice Address - Street 2:SUITE 170
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380
Practice Address - Country:US
Practice Address - Phone:281-444-1303
Practice Address - Fax:281-444-5161
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLRN9255221363LF0000X
TX668237363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily