Provider Demographics
NPI:1457460818
Name:HILL, HAROLD ADAM III (DC)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:ADAM
Last Name:HILL
Suffix:III
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 1:6709 KAREN DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7929
Mailing Address - Country:US
Mailing Address - Phone:817-983-9084
Mailing Address - Fax:
Practice Address - Street 1:4222 TRINITY MILLS RD STE 114
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-7604
Practice Address - Country:US
Practice Address - Phone:972-248-3101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7243111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU75562Medicare UPIN