Provider Demographics
NPI:1447228135
Name:HILL, DAVID PARNELL (DO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:PARNELL
Last Name:HILL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 N ESPLANADE
Mailing Address - Street 2:STE 102
Mailing Address - City:CUERO
Mailing Address - State:TX
Mailing Address - Zip Code:77954-4727
Mailing Address - Country:US
Mailing Address - Phone:361-275-3466
Mailing Address - Fax:361-275-3460
Practice Address - Street 1:2500 N ESPLANADE
Practice Address - Street 2:STE 102
Practice Address - City:CUERO
Practice Address - State:TX
Practice Address - Zip Code:77954-4727
Practice Address - Country:US
Practice Address - Phone:361-275-3466
Practice Address - Fax:361-275-3460
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6485207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX134444208Medicaid
TX8D0776Medicare PIN
G02740Medicare UPIN