Ty E Hamilton, CCP

NPI #1790911154 in Tyler, Texas

Provider Information

NPI Number: 1790911154
Entity Type: Individual
Name: Ty E Hamilton, CCP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Perfusionist
Credential: CCP
Enumeration Date: May 29, 2009
Last Updated: May 29, 2009

Practice Location

Address: 312 E HOUSTON ST
City: Tyler
State: Texas
ZIP Code: 75702-8218
Phone: (903) 535-5011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Perfusionist	242T00000X	Primary

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