Provider Demographics
NPI:1154631240
Name:SPRINGHILL MEDICAL & AESTHETICS, LLC
Entity Type:Organization
Organization Name:SPRINGHILL MEDICAL & AESTHETICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:ANP-C
Authorized Official - Phone:940-390-6257
Mailing Address - Street 1:703 S HIGHWAY 377
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-5534
Mailing Address - Country:US
Mailing Address - Phone:940-365-1770
Mailing Address - Fax:940-365-1773
Practice Address - Street 1:703 S HIGHWAY 377
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-5534
Practice Address - Country:US
Practice Address - Phone:940-365-1770
Practice Address - Fax:940-365-1773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX582775363LA2200X
TX683105363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1538348784OtherNPI PROVIDER 1