Provider Demographics
NPI:1831438217
Name:HAMBY, PHILIP BLAINE (FNP)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:BLAINE
Last Name:HAMBY
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 SCRIPTURE ST STE 102
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-4322
Mailing Address - Country:US
Mailing Address - Phone:940-442-6455
Mailing Address - Fax:940-442-6606
Practice Address - Street 1:2601 SCRIPTURE ST STE 102
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4322
Practice Address - Country:US
Practice Address - Phone:940-442-6455
Practice Address - Fax:940-442-6606
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX728078363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily