MEDICARE: RICHARD HILL PHYSICIAN ASSISTANT

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	363AM0700X	Medical Physician Assistant	1220	PR
2	363AM0700X	Medical Physician Assistant	1202	PR
3	246ZS0410X	Surgical Technologist

General Provider Information

NPI Number	:	1922763465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD HILL PHYSICIAN ASSISTANT

Provider Business Mailing Address
First Line	:	12800 BRIAR FOREST DR UNIT 20
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-2211
Country	:	US
Telephone Number	:	832-531-9982
Fax Number	:

Provider Business Practice Location Address
First Line	:	4501 W EXPY 83
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-0029
Country	:	US
Telephone Number	:	956-627-0741
Fax Number	:

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

Provider Enumeration Date	:	10/31/2021
Last Update Date	:	09/05/2022

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