Provider Demographics
NPI:1588288674
Name:POWERS, HILLARY (MD)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:POWERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:POWERS
Other - Last Name:WALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:11406 TRAFALGAR AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-7658
Mailing Address - Country:US
Mailing Address - Phone:903-649-3242
Mailing Address - Fax:
Practice Address - Street 1:6431 FANNIN ST RM 5.170
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-6113
Practice Address - Fax:713-500-0648
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2023-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10071080390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program