Provider Demographics
NPI:1861466930
Name:HILL, MARK WAYNE (DC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:WAYNE
Last Name:HILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 NASA PKWY
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-3215
Mailing Address - Country:US
Mailing Address - Phone:281-532-3160
Mailing Address - Fax:281-532-3480
Practice Address - Street 1:2825 NASA PKWY
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-3215
Practice Address - Country:US
Practice Address - Phone:281-532-3160
Practice Address - Fax:281-532-3480
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2021-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10248111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor