| Organization Name: | COMANCHE FAMILY CLINIC LLC |
| NPI Number: | 1508071697 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RACHEL N HILLIARD (OWNER) |
| Mailing Address: | 105 Valley Forge St Comanche |
| State: | TX US |
| Postal Code: | 764421813 |
| Phone Number: | 3253567530 |
| Fax Number: | 3253565388 |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 607586 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |