Provider Demographics
NPI:1992088637
Name:FREDERICK L HILL DO PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:FREDERICK L HILL DO PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:DO PC
Authorized Official - Phone:281-443-1766
Mailing Address - Street 1:20713 ALDINE WESTFIELD RD
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-3317
Mailing Address - Country:US
Mailing Address - Phone:281-443-1766
Mailing Address - Fax:281-443-2852
Practice Address - Street 1:20713 ALDINE WESTFIELD RD
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3317
Practice Address - Country:US
Practice Address - Phone:281-443-1766
Practice Address - Fax:281-443-2852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-20
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1645207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC16914Medicare UPIN