Provider Demographics
NPI:1407007149
Name:BRINK, HILLARY HANNA (MA, CCC/A)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:HANNA
Last Name:BRINK
Suffix:
Gender:F
Credentials:MA, CCC/A
Other - Prefix:
Other - First Name:HILLLARY
Other - Middle Name:ELIZABETH
Other - Last Name:HANNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC/A
Mailing Address - Street 1:10740 N GESSNER DR
Mailing Address - Street 2:STE 310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1240
Mailing Address - Country:US
Mailing Address - Phone:281-897-0416
Mailing Address - Fax:281-890-8908
Practice Address - Street 1:251 MEDICAL CENTER BLVD
Practice Address - Street 2:STE 110
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4242
Practice Address - Country:US
Practice Address - Phone:281-338-1423
Practice Address - Fax:281-316-2173
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80181231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L4852Medicare PIN