MEDICARE: BRIDGETTE HILL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164X00000X	Licensed Vocational Nurse	10-3504	TX
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1174906937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGETTE HILL

Provider Business Mailing Address
First Line	:	3415 S COOPER ST
Second Line	:	SUITE 103-972
City	:	ARLINGTON
State	:	TX
Zip	:	76015-3446
Country	:	US
Telephone Number	:	469-231-4935
Fax Number	:

Provider Business Practice Location Address
First Line	:	3415 S COOPER ST
Second Line	:	SUITE 103-972
City	:	ARLINGTON
State	:	TX
Zip	:	76015-3446
Country	:	US
Telephone Number	:	469-231-4935
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2015
Last Update Date	:	06/29/2015

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Directions to “ BRIDGETTE HILL ” Practice Location

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