MEDICARE: NORTH HILLS FAMILY PRACTICE, PA

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	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	H8646	OTHER	TX	MEDICAL LICENSE- DR FULLER
2	F1559	OTHER	TX	MEDICAL LICENSE-DR GABRIEL
3	K1233	OTHER	TX	MEDICAL LICENSE-DR LAMBERT
4	L8368	OTHER	TX	MEDICAL LICENSE-DR MARTIN

General Provider Information

NPI Number	:	1831251271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH HILLS FAMILY PRACTICE, PA

Provider Business Mailing Address
First Line	:	4351 BOOTH CALLOWAY RD
Second Line	:	SUITE 101
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-7378
Country	:	US
Telephone Number	:	817-284-1165
Fax Number	:	817-284-4990

Provider Business Practice Location Address
First Line	:	4351 BOOTH CALLOWAY RD
Second Line	:	SUITE 101
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-7378
Country	:	US
Telephone Number	:	817-284-1165
Fax Number	:	817-284-4990

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	MRS. CHRISTINE SUSAN GAUWAIN
Credential	:
Telephone Number	:	817-284-6912

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	03/12/2020

Similar Medicare Providers

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Practice Location Address:

4351 BOOTH CALLOWAY RD , #101
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1114915493 — DR. JOSEPH O LAMBERT MD
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1629298583 — MR. ROBERT CARL HENRY PA-C, MPAS
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1154509842 — STEPHEN LAMSON M.S.
Practice Location Address:

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Directions to “NORTH HILLS FAMILY PRACTICE, PA ” Practice Location

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