Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 0442000356 | VA |
N | 204E00000X | Oral & Maxillofacial Surgeon | 0442000356 | VA |
NPI | 1427619931 |
---|---|
Provider Name | Dr. Tyler Brett Hill |
First Address | Houston, TX 77098-5492 |
Second Address | Houston, TX 77054-2032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2019 |
Last Update Date | 08/06/2020 |