Provider Demographics
NPI:1114120110
Name:HILL, MEAGAN R (MD)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:R
Last Name:HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 NE ALSBURY BLVD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-2668
Mailing Address - Country:US
Mailing Address - Phone:817-293-7311
Mailing Address - Fax:817-882-8707
Practice Address - Street 1:811 NE ALSBURY BLVD
Practice Address - Street 2:SUITE 800
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-2668
Practice Address - Country:US
Practice Address - Phone:817-293-7311
Practice Address - Fax:817-882-8707
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5755207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine