Healthcare Provider Details

I. General information

NPI: 1922763465
Provider Name (Legal Business Name): RICHARD HILL PHYSICIAN ASSISTANT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2021
Last Update Date: 09/05/2022
Certification Date: 09/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 W EXPY 83
MCALLEN TX
78503-0029
US

IV. Provider business mailing address

12800 BRIAR FOREST DR UNIT 20
HOUSTON TX
77077-2211
US

V. Phone/Fax

Practice location:
  • Phone: 956-627-0741
  • Fax:
Mailing address:
  • Phone: 832-531-9982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1220
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1202
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: