Provider Demographics
NPI:1649431453
Name:RICHARD-HAMILTON, FRANCHELL (MD)
Entity type:Individual
Prefix:
First Name:FRANCHELL
Middle Name:
Last Name:RICHARD-HAMILTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FRANCHELL
Other - Middle Name:
Other - Last Name:RICHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1980
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-1980
Mailing Address - Country:US
Mailing Address - Phone:757-446-8967
Mailing Address - Fax:757-446-8951
Practice Address - Street 1:9910 HUEBNER RD
Practice Address - Street 2:STE 250
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1342
Practice Address - Country:US
Practice Address - Phone:210-615-8500
Practice Address - Fax:210-615-8501
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116019799390200000X
TXP3167208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program