Provider Demographics
NPI:1750496964
Name:KAREN HILL MD PA
Entity Type:Organization
Organization Name:KAREN HILL MD PA
Other - Org Name:INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-321-1097
Mailing Address - Street 1:5420 DASHWOOD DR STE 103
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-5333
Mailing Address - Country:US
Mailing Address - Phone:713-661-9550
Mailing Address - Fax:713-665-6266
Practice Address - Street 1:5420 DASHWOOD DR STE 103
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5333
Practice Address - Country:US
Practice Address - Phone:713-661-9550
Practice Address - Fax:713-665-6266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0823207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149548301Medicaid
TX0049HGOtherBCBS OF TX GROUP NUMBER
TX00863RMedicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
TX149548301Medicaid