Provider Demographics
NPI:1649033085
Name:HILL, TARYN AYANNA (DC)
Entity type:Individual
Prefix:DR
First Name:TARYN
Middle Name:AYANNA
Last Name:HILL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12900 SHADOW CREEK PKWY APT 2307
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7474
Mailing Address - Country:US
Mailing Address - Phone:318-372-2132
Mailing Address - Fax:
Practice Address - Street 1:1500 MCGOWEN ST STE 140
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-1153
Practice Address - Country:US
Practice Address - Phone:346-330-9876
Practice Address - Fax:346-330-9876
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15907111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor