Provider Demographics
NPI:1609035484
Name:JARNAGIN, HILLARY LUEBBEHUSEN (MD)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:LUEBBEHUSEN
Last Name:JARNAGIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:INEZ
Other - Last Name:LUEBBEHUSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12201 MERIT DR
Mailing Address - Street 2:SUITE 350
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-2213
Mailing Address - Country:US
Mailing Address - Phone:214-238-7888
Mailing Address - Fax:214-238-7889
Practice Address - Street 1:7720 S BROADWAY STE 250
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2634
Practice Address - Country:US
Practice Address - Phone:720-922-6240
Practice Address - Fax:720-922-6241
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3382207V00000X
CODR.0066662207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX335496YYAYMedicare PIN