Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | S5924 | TX |
Y | 207R00000X | Internist | S5924 | TX |
Y | 111NI0900X | Internist | S5924 | TX |
N | 208000000X | Pediatrician | S5924 | TX |
NPI | 1336503275 |
---|---|
Provider Name | Caitlin Hill |
First Address | Austin, TX 78758-5450 |
Second Address | Austin, TX 78758-5450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2016 |
Last Update Date | 22/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S5924 | STATE LICENSE (01) | TX |