Provider Demographics
NPI:1558347120
Name:VELA HILL, ALICE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:
Last Name:VELA HILL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:ALICE
Other - Middle Name:
Other - Last Name:VELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2508 CALUMET ST
Mailing Address - Street 2:UNIT D
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7591
Mailing Address - Country:US
Mailing Address - Phone:956-434-2287
Mailing Address - Fax:
Practice Address - Street 1:2508 CALUMET ST APT D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7592
Practice Address - Country:US
Practice Address - Phone:956-434-2287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA03877363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B8792Medicare ID - Type Unspecified
TXQ16173Medicare UPIN