Provider Demographics
NPI:1932167350
Name:SHEILA HILL MD PA
Entity Type:Organization
Organization Name:SHEILA HILL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:H
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:936-632-2220
Mailing Address - Street 1:2708 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-2928
Mailing Address - Country:US
Mailing Address - Phone:936-632-2220
Mailing Address - Fax:
Practice Address - Street 1:2708 N UNIVERSITY DR
Practice Address - Street 2:SUITE 101
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-2928
Practice Address - Country:US
Practice Address - Phone:936-632-2220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163860301Medicaid
TX163860301Medicaid