Healthcare Provider Details

I. General information

NPI: 1033485420
Provider Name (Legal Business Name): HILARY MARYOUNG CHAUBEY PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2012
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 HARRY HINES BLVD
DALLAS TX
75235
US

IV. Provider business mailing address

5939 HARRY HINES BLVD POB I
DALLAS TX
75390-9175
US

V. Phone/Fax

Practice location:
  • Phone: 214-645-3597
  • Fax:
Mailing address:
  • Phone: 214-645-3597
  • Fax: 214-645-6757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA07726
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: