Provider Demographics
NPI:1376650689
Name:HILL, FREDERICK LEONARD (DO)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:LEONARD
Last Name:HILL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:20713 ALDINE WESTFIELD RD
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-3317
Mailing Address - Country:US
Mailing Address - Phone:281-443-1766
Mailing Address - Fax:281-443-2852
Practice Address - Street 1:20713 ALDINE WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3317
Practice Address - Country:US
Practice Address - Phone:281-443-1766
Practice Address - Fax:281-443-2852
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF1645207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX034487101Medicaid
TXC16914Medicare UPIN