Provider Demographics
NPI:1083028237
Name:HILL, CHRISSY ANN (PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISSY
Middle Name:ANN
Last Name:HILL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5525 PLATA LN
Mailing Address - Street 2:
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76126-1838
Mailing Address - Country:US
Mailing Address - Phone:682-438-2000
Mailing Address - Fax:
Practice Address - Street 1:2550 RIVER PARK PLZ
Practice Address - Street 2:SUITE 110
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-0920
Practice Address - Country:US
Practice Address - Phone:817-731-1289
Practice Address - Fax:817-731-1291
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical