Basic Information
Provider Information
NPI: 1346448792
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILLS
FirstName: TINA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: CRDAMC
Address2: DEM 36000 DARNALL LOOP BOX 31
City: FT HOOD
State: TX
PostalCode: 765444752
CountryCode: US
TelephoneNumber: 2542888303
FaxNumber: 2542887055
Practice Location
Address1: CRDAMC
Address2: DEM 36000 DARNALL LOOP BOX 31
City: FT HOOD
State: TX
PostalCode: 765444752
CountryCode: US
TelephoneNumber: 2542888303
FaxNumber: 2542887055
Other Information
ProviderEnumerationDate: 07/06/2007
LastUpdateDate: 06/21/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X0101243663VAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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