MEDICARE: MS. DEBRA K HILL LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	09333	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	62-33668	OTHER	TX	UNITED HEALTHCARE SERVICE
2	10018728	OTHER	TX	AMERIGROUP CORP.

General Provider Information

NPI Number	:	1205992013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBRA K HILL LCSW

Provider Business Mailing Address
First Line	:	4833 KINGFISHER DR.
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-4921
Country	:	US
Telephone Number	:	713-240-1601
Fax Number	:	713-729-0252

Provider Business Practice Location Address
First Line	:	3917 ANDERSON RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77053-2407
Country	:	US
Telephone Number	:	713-433-7317
Fax Number	:	713-723-2091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	07/08/2007

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