Healthcare Provider Details

I. General information

NPI: 1407823735
Provider Name (Legal Business Name): DEMETRICE LAMOTTE HILL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2006
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 N SANTA ROSA
SAN ANTONIO TX
78207-3108
US

IV. Provider business mailing address

333 N SANTA ROSA
SAN ANTONIO TX
78207-3108
US

V. Phone/Fax

Practice location:
  • Phone: 210-704-4100
  • Fax:
Mailing address:
  • Phone: 210-704-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberC2270
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number48465
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberR3862
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: