Organization Name: | SPRINGHILL MEDICAL & AESTHETICS, LLC |
NPI Number: | 1154631240 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGARET MARY HINES (OWNER) |
Mailing Address: | 703 S Highway 377 Aubrey |
State: | TX US |
Postal Code: | 762275534 |
Phone Number: | 9403651770 |
Fax Number: | 9403651773 |
NPI Enumeration Date: | 10/07/2010 |
NPI Last Update Date: | 10/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 582775 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |