Provider Demographics
NPI:1205879210
Name:HAMILTON, AMY WARD (PA)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:WARD
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:2050 NATURE PARK LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2747
Mailing Address - Country:US
Mailing Address - Phone:281-866-7701
Mailing Address - Fax:
Practice Address - Street 1:19221 I H 45 S STE 400
Practice Address - Street 2:SOUTHWOOD TOWER
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77385-8756
Practice Address - Country:US
Practice Address - Phone:832-585-0095
Practice Address - Fax:832-585-0088
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA01985363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183149701Medicaid
TXS59072Medicare UPIN
TX183149701Medicaid
GA970006565Medicare PIN