MEDICARE: MRS. ALICE VELA HILL P.A.-C.

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	363A00000X	Physician Assistant	PA03877	TX

General Provider Information

NPI Number	:	1558347120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALICE VELA HILL P.A.-C.

Provider Business Mailing Address
First Line	:	2508 CALUMET ST
Second Line	:	UNIT D
City	:	HOUSTON
State	:	TX
Zip	:	77004-7591
Country	:	US
Telephone Number	:	956-434-2287
Fax Number	:

Provider Business Practice Location Address
First Line	:	2508 CALUMET ST APT D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7592
Country	:	US
Telephone Number	:	956-434-2287
Fax Number	:

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

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	02/09/2011

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