Provider Demographics
NPI:1700889318
Name:HILAL, AMR (MD)
Entity Type:Individual
Prefix:
First Name:AMR
Middle Name:
Last Name:HILAL
Suffix:
Gender:M
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 742091
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-2091
Mailing Address - Country:US
Mailing Address - Phone:972-745-7500
Mailing Address - Fax:469-298-1219
Practice Address - Street 1:109 CENTRAL EXPY N
Practice Address - Street 2:SUITE 509
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2645
Practice Address - Country:US
Practice Address - Phone:972-359-6900
Practice Address - Fax:972-359-6902
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2016-11-07
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-04-05
Provider Licenses
StateLicense IDTaxonomies
TXQ0932208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVH25993Medicare UPIN
NV002018379Medicaid
NV003102379Medicaid