Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | P4457 | TX |
NPI | 1477758050 |
---|---|
Provider Name | Jaclyn F Hill |
First Address | Houston, TX 77030-2610 |
Second Address | Houston, TX 77030-2610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2007 |
Last Update Date | 13/09/2013 |