Hammond Iii, Clifford W

Hammond Iii, Clifford W is an individual health care provider with primary practice located at 6901 Medical Pkwy , Waco TX 76712-7910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hammond Iii, Clifford W can be contacted via phone (469) 757-1000.

Contact Information

Primary practice address
6901 Medical Pkwy Waco TX 76712-7910
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X F4044 Texas

Profile Details

NPI number 1174583538
LBN Legal business name Hammond Iii, Clifford W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Mar 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174583538 NPPES
Texas MEDICAID 124461801

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