MEDICARE: MRS. MARY KATHERINE HILL FNP, PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP128403	TX

General Provider Information

NPI Number	:	1982087581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY KATHERINE HILL FNP, PMHNP

Provider Business Mailing Address
First Line	:	1110 NASA PKWY STE 620
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3360
Country	:	US
Telephone Number	:	281-335-4000
Fax Number	:	281-335-4004

Provider Business Practice Location Address
First Line	:	1110 NASA PKWY STE 620
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3360
Country	:	US
Telephone Number	:	281-335-4000
Fax Number	:

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

Provider Enumeration Date	:	07/01/2015
Last Update Date	:	07/06/2023

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