Provider Demographics
NPI:1861470684
Name:HAMLIN, FRANK DELZON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:DELZON
Last Name:HAMLIN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2602 SAINT MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-2372
Mailing Address - Country:US
Mailing Address - Phone:903-614-5260
Mailing Address - Fax:903-614-5265
Practice Address - Street 1:2602 SAINT MICHAEL DR
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2372
Practice Address - Country:US
Practice Address - Phone:903-614-5260
Practice Address - Fax:903-614-5265
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF5123207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F0470Medicare ID - Type UnspecifiedMEDICARE
TXB23283Medicare UPIN