Provider Demographics
NPI:1285760769
Name:HAMPTON, TONY LANE (LSA)
Entity type:Individual
Prefix:MR
First Name:TONY
Middle Name:LANE
Last Name:HAMPTON
Suffix:
Gender:M
Credentials:LSA
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Mailing Address - Street 1:14713 NOYA DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728-4324
Mailing Address - Country:US
Mailing Address - Phone:512-825-2417
Mailing Address - Fax:512-953-0635
Practice Address - Street 1:14713 NOYA DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-4324
Practice Address - Country:US
Practice Address - Phone:512-825-2417
Practice Address - Fax:512-953-0635
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2016-02-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant