Medora Jean Hamrick, CBS

Individual provider Active NPI Lactation Consultant (Non-RN) · Fate, TX

NPI 1366074809 · NPPES record last updated Feb 11, 2020

Key facts

NPI
1366074809
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
Practice address
849 Layla Dr
Fate, TX 75087-0228
Phone
(214) 542-6339
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X Yes

Addresses

Primary practice location

849 Layla Dr
Fate, TX 75087-0228

Mailing address

849 Layla Dr
Fate, TX 75087-0228
Phone (214) 542-6339

Other names

  • Dodie Hamrick Other name

Other providers in Fate, TX

All providers in Fate, TX · Lactation Consultant (Non-RN) in Texas

Sources for this page

Verify at the official NPI Registry.