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NPI Code Detail

MEDICARE: DR. KHALED HILAL MD

MEDICARE: DR. KHALED HILAL MD
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
12080N0001XNeonatal-Perinatal Medicine Physician0429646KS
22080N0001XNeonatal-Perinatal Medicine PhysicianJ7989TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821093097
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KHALED HILAL MD
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 254-724-2111
Fax Number :
Provider Business Practice Location Address
First Line : 1700 UNIVERSITY DR E
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77840-2661
Country : US
Telephone Number : 979-691-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 01/24/2022

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