M.K. Hamza PH.D., P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33373 Issued in TX

Legal business name

M.K. HAMZA PH.D., P.A.

Practice address

2300 Highway 365
Ste 110
Nederland, TX 77627-6256

Phone

(409) 729-0400

Fax

(409) 729-0453

NPI assigned

Aug 29, 2007

Last updated

Oct 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

M.K. Hamza

Title

Owner

Phone

(409) 729-0400

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walisha M. Blackmore, M. ED., LPC-S

  • Professional Counselor
  • Port Arthur, TX
  • NPI 1992853063
  NPD (past)
• Linda Christine White, M.A., LPC

  • Professional Counselor
  • Beaumont, TX
  • NPI 1336635689
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1346434750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "STE 110",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-729-0400",
            "fax_number": "409-729-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "STE 110",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-729-0400",
            "fax_number": "409-729-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.K. HAMZA PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "HAMZA",
        "authorized_official_first_name": "M.K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-729-0400"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33373",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "33373",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185694001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Letourneau Lifelike Orthotics & Prosthetics, Inc.
• Jose Vicente Paloma Limjoco, PT
• Syamala Lingam, M.S, R.D, L.D.
• Teekam Das Lohano, MD
• Jodi Schion Love, N.P.-C.
• Mark Beaty D.C.
• Christopher Earl Marrero, M.D.
• Michelle Marroquin, FNP
• Brent Lane Mazzagate
• Ronald Kent McCraw, PH.D.,D.O.,P.A.

• Clinical Psychologist in Nederland, TX
• Providers in Nederland, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.