Provider Demographics
NPI:1902970478
Name:HELLMAN, WAYNE LAMONT (MD)
Entity Type:Individual
Prefix:
First Name:WAYNE
Middle Name:LAMONT
Last Name:HELLMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1419 CEDAR HILL AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-2406
Mailing Address - Country:US
Mailing Address - Phone:214-943-4244
Mailing Address - Fax:214-943-1832
Practice Address - Street 1:1419 CEDAR HILL AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-2406
Practice Address - Country:US
Practice Address - Phone:214-943-4244
Practice Address - Fax:214-943-1832
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC6355207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B9697Medicare PIN