Provider Demographics
NPI:1164463576
Name:HILLCREST HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:HILLCREST HEALTHCARE SERVICES INC
Other - Org Name:DR LYLE BROWN, MD
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-870-4591
Mailing Address - Street 1:119 W HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-5909
Mailing Address - Country:US
Mailing Address - Phone:903-891-7000
Mailing Address - Fax:903-813-1479
Practice Address - Street 1:425 N HIGHLAND AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7377
Practice Address - Country:US
Practice Address - Phone:903-957-0267
Practice Address - Fax:903-957-0269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00T65UOtherBLUE CROSS BLUE SHIELD
TXDB3277OtherPALMETTO RAILROAD MEDICAR
TX00T65UOtherBLUE CROSS BLUE SHIELD