Provider Demographics
NPI:1306853692
Name:FLORA, HILL D (DC)
Entity Type:Individual
Prefix:
First Name:HILL
Middle Name:D
Last Name:FLORA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3409 NORMAN LN
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-3417
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2401 IRA E WOODS AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3997
Practice Address - Country:US
Practice Address - Phone:817-552-0078
Practice Address - Fax:817-552-0079
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6154111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU44535Medicare UPIN
TX609413Medicare ID - Type Unspecified