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NPI Code Detail

MEDICARE: MISS RENDA C HILLIARD

MEDICARE: MISS RENDA C HILLIARD
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
1224Z00000XOccupational Therapy Assistant209983TX

General Provider Information

NPI Number : 1306320957
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS RENDA C HILLIARD
Provider Business Mailing Address
First Line : 5756 N KNOLL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-2238
Country : US
Telephone Number : 210-321-5200
Fax Number :
Provider Business Practice Location Address
First Line : 5756 N KNOLL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-2238
Country : US
Telephone Number : 210-321-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2018
Last Update Date : 09/19/2018

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Directions to “ MISS RENDA C HILLIARD ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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