Provider Demographics
NPI:1568665313
Name:HILL, MATTHEW SCOTT (DO)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:SCOTT
Last Name:HILL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11420 BEE CAVES RD STE A150
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5528
Mailing Address - Country:US
Mailing Address - Phone:512-428-5764
Mailing Address - Fax:512-428-6021
Practice Address - Street 1:11420 BEE CAVES RD STE A150
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-5528
Practice Address - Country:US
Practice Address - Phone:512-428-5764
Practice Address - Fax:512-428-6021
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXN3729207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program