Healthcare Provider Details

I. General information

NPI: 1205365483
Provider Name (Legal Business Name): HILLARY ANE HOBEN OTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2017
Last Update Date: 06/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 US HIGHWAY 81 W
NEW BRAUNFELS TX
78130-5741
US

IV. Provider business mailing address

2149 KEYSTONE DR
NEW BRAUNFELS TX
78130-9072
US

V. Phone/Fax

Practice location:
  • Phone: 830-625-7526
  • Fax:
Mailing address:
  • Phone: 830-358-7403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number214521
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: