Provider Demographics
NPI:1013339407
Name:HILLCREST PREMIER FAMILY PRACTICE, PLLC
Entity Type:Organization
Organization Name:HILLCREST PREMIER FAMILY PRACTICE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:972-726-6103
Mailing Address - Street 1:12700 HILLCREST RD STE 254
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2064
Mailing Address - Country:US
Mailing Address - Phone:972-726-6103
Mailing Address - Fax:972-726-0344
Practice Address - Street 1:12700 HILLCREST RD STE 254
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2064
Practice Address - Country:US
Practice Address - Phone:972-726-6103
Practice Address - Fax:972-726-0344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-20
Last Update Date:2014-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0809323363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty