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NPI Code Detail

MEDICARE: SPRING HILLS INTERNAL MEDICINE, PA

MEDICARE: SPRING HILLS INTERNAL MEDICINE, PA
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
1208M00000XHospitalist PhysicianK9009TX

General Provider Information

NPI Number : 1427215409
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRING HILLS INTERNAL MEDICINE, PA
Provider Business Mailing Address
First Line : PO BOX 1533
Second Line :
City : BURLESON
State : TX
Zip : 76097-1533
Country : US
Telephone Number : 817-927-1703
Fax Number : 817-927-1703
Provider Business Practice Location Address
First Line : 3217 BENBROOK BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-2206
Country : US
Telephone Number : 817-927-1703
Fax Number : 817-927-1703
Authorized Official
Title or Position : BUSINESS MNG
Name : ALISON LYNN LOVETT
Credential :
Telephone Number : 817-927-1703
Provider Enumeration Date : 05/19/2008
Last Update Date : 04/10/2017

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Directions to “SPRING HILLS INTERNAL MEDICINE, PA ” Practice Location

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