Provider Demographics
NPI:1891916243
Name:HILL, KAREN R (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 S. AUSTIN AVE.
Mailing Address - Street 2:SUITE 205
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626
Mailing Address - Country:US
Mailing Address - Phone:512-864-9100
Mailing Address - Fax:512-864-9104
Practice Address - Street 1:3201 S. AUSTIN AVE.
Practice Address - Street 2:SUITE 205
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626
Practice Address - Country:US
Practice Address - Phone:512-864-9100
Practice Address - Fax:512-864-9104
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3814207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI74-2724306OtherEIN
WI74-2724306OtherEIN