MEDICARE: BAILEY HEMPHILL

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	225X00000X	Occupational Therapist	124865	TX

General Provider Information

NPI Number	:	1366275968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY HEMPHILL

Provider Business Mailing Address
First Line	:	106 RAPHAEL DR
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-5952
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13150 FOUR STAR BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-1020
Country	:	US
Telephone Number	:	512-645-1445
Fax Number	:

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

Provider Enumeration Date	:	08/21/2024
Last Update Date	:	08/21/2024

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Directions to “ BAILEY HEMPHILL ” Practice Location

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