Healthcare Provider Details

I. General information

NPI: 1730103425
Provider Name (Legal Business Name): DON LEE HILL CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 10/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 S MCCOLL RD
EDINBURG TX
78539-9152
US

IV. Provider business mailing address

PO BOX 3449
MCALLEN TX
78502-3449
US

V. Phone/Fax

Practice location:
  • Phone: 956-661-0529
  • Fax: 956-581-3336
Mailing address:
  • Phone: 956-584-5600
  • Fax: 956-581-3336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number244452
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: