Provider Demographics
NPI:1578568754
Name:TERESA N. HILL, M.D., P.A.
Entity Type:Organization
Organization Name:TERESA N. HILL, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA-TRAM
Authorized Official - Middle Name:NGUYEN
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-627-2118
Mailing Address - Street 1:1713 S FM 51
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3642
Mailing Address - Country:US
Mailing Address - Phone:940-627-2118
Mailing Address - Fax:940-627-4709
Practice Address - Street 1:1713 S FM 51
Practice Address - Street 2:SUITE 201
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3642
Practice Address - Country:US
Practice Address - Phone:940-627-2118
Practice Address - Fax:940-627-4709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7418207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPENDINGOtherBCBS
TXPENDINGMedicaid
TXPENDINGMedicare PIN