Provider Demographics
NPI:1194236539
Name:ROGERS HILL, TAMICA DANQUETTE
Entity type:Individual
Prefix:MRS
First Name:TAMICA
Middle Name:DANQUETTE
Last Name:ROGERS HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 MEADOWDALE CIR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-2727
Mailing Address - Country:US
Mailing Address - Phone:214-900-7284
Mailing Address - Fax:
Practice Address - Street 1:950 MEADOWDALE CIR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-2727
Practice Address - Country:US
Practice Address - Phone:214-900-7284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-12
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community Mobility
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000000OtherN/A
TX85-2779170OtherTAX ID