Provider Demographics
NPI:1427215409
Name:SPRING HILLS INTERNAL MEDICINE, PA
Entity Type:Organization
Organization Name:SPRING HILLS INTERNAL MEDICINE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MNG
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LOVETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-927-1703
Mailing Address - Street 1:PO BOX 1533
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76097-1533
Mailing Address - Country:US
Mailing Address - Phone:817-927-1703
Mailing Address - Fax:817-927-1703
Practice Address - Street 1:3217 BENBROOK BLVD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-2206
Practice Address - Country:US
Practice Address - Phone:817-927-1703
Practice Address - Fax:817-927-1703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9009208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty