Provider Demographics
NPI:1932122892
Name:HILTON, DEBORAH SUE (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:SUE
Last Name:HILTON
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:PO BOX 226
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75030-0226
Mailing Address - Country:US
Mailing Address - Phone:972-526-0340
Mailing Address - Fax:972-996-1857
Practice Address - Street 1:7501 LAKEVIEW PKWY
Practice Address - Street 2:STE 160
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-9322
Practice Address - Country:US
Practice Address - Phone:972-526-0340
Practice Address - Fax:972-996-1857
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8129207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX038088303Medicaid
TX8W7419OtherBLUE CROSS BLUE SHIELD
TX8BX669OtherBLUE CROSS BLUE SHIELD
TXP00465280OtherRAILROAD MEDICARE
TXP00667693OtherRAILROAD MEDICARE
TX038088302Medicaid
TX8W7419OtherBLUE CROSS BLUE SHIELD
TX038088303Medicaid