| Doctor Name: | TY E HAMILTON |
| NPI Number: | 1790911154 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CCP |
| License Number: | PF0361 |
| Business Practice Address: | 312 E Houston St Tyler, TX - 757028218 |
| Business Phone Number: | 9035355011 |
| Business Fax Number: | 9035355000 |
| Mailing Address: | 312 E Houston St, TYLER |
| State: | TX |
| Postal Code: | 757028218 |
| Phone Number: | 9035355011 |
| Fax Number: | 9035355000 |
| NPI Enumeration Date: | 05/29/2009 |
| NPI Last Update Date: | 05/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 242T00000X |
| License Number: | PF0361 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Perfusionist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient |