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NPI Code Detail

MEDICARE: ELIZABETH L HILL D.O.

MEDICARE:   ELIZABETH L HILL  D.O.
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
1207Q00000XFamily Medicine PhysicianK5997TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00160992OTHERMEDICARE RR, IND.

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3K5997OTHERTXSTATE LICENSE
48K6460OTHERTXBCBS IND.

General Provider Information

NPI Number : 1225084742
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH L HILL D.O.
Provider Business Mailing Address
First Line : PO BOX 727
Second Line :
City : BEDFORD
State : TX
Zip : 76095-0727
Country : US
Telephone Number : 817-354-7070
Fax Number : 817-354-7073
Provider Business Practice Location Address
First Line : 1604 HOSPITAL PKWY STE 402
Second Line :
City : BEDFORD
State : TX
Zip : 76022-6932
Country : US
Telephone Number : 817-848-4110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 09/05/2024

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Directions to “ ELIZABETH L HILL D.O.” Practice Location

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