Basic Information
Provider Information
NPI: 1306437009
EntityType: 2
ReplacementNPI:  
OrganizationName: HILLS ANESTHESIA PLLC
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Mailing Information
Address1: 960 RIDGEVIEW DRIVE
Address2: STE 140 - 242
City: ALLEN
State: TX
PostalCode: 75013
CountryCode: US
TelephoneNumber: 2143907697
FaxNumber:  
Practice Location
Address1: 403 W CAMPBELL RD STE 305
Address2:  
City: RICHARDSON
State: TX
PostalCode: 750803468
CountryCode: US
TelephoneNumber: 2143907697
FaxNumber: 9724326692
Other Information
ProviderEnumerationDate: 01/27/2021
LastUpdateDate: 01/27/2021
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AuthorizedOfficialLastName: ALI
AuthorizedOfficialFirstName: RAO
AuthorizedOfficialMiddleName: KAMRAN
AuthorizedOfficialTitleorPosition: ADMIN
AuthorizedOfficialTelephone: 2143907697
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 01/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X  Y193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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