Provider Demographics
NPI:1497939243
Name:HILLS, RENETTA VONICA
Entity Type:Individual
Prefix:
First Name:RENETTA
Middle Name:VONICA
Last Name:HILLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16203 FLEETHAVEN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7563
Mailing Address - Country:US
Mailing Address - Phone:281-823-2636
Mailing Address - Fax:281-463-2417
Practice Address - Street 1:16203 FLEETHAVEN LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7563
Practice Address - Country:US
Practice Address - Phone:281-823-2636
Practice Address - Fax:281-463-2417
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health