=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053483636
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | YAPHET L HILL DC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/15/2006
-----------------------------------------------------
Last Update Date | 10/19/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2002 BINZ ST SUITE B
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77004-7502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-788-1169
-----------------------------------------------------
Fax | 281-402-3686
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2002 BINZ ST SUITE B
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77004-7502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-396-3243
-----------------------------------------------------
Fax | 281-402-3686
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 10138
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------