Healthcare Provider Details

I. General information

NPI: 1104734466
Provider Name (Legal Business Name): HILL AVE CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 FM 646 RD STE A
DICKINSON TX
77539-3013
US

IV. Provider business mailing address

451 FM 646 RD STE A
DICKINSON TX
77539-3013
US

V. Phone/Fax

Practice location:
  • Phone: 281-867-0291
  • Fax:
Mailing address:
  • Phone: 281-867-0291
  • Fax: 281-867-0292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: REHMAN UDDIN
Title or Position: OWNER
Credential: MD
Phone: 281-300-2756