1700889318 NPI number — AMR HILAL M.D.

Table of content: AMR HILAL M.D. (NPI 1700889318)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700889318 NPI number — AMR HILAL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HILAL
Provider First Name:
AMR
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700889318
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/07/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
03/17/2006
NPI Reactivation Date:
04/05/2006

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 742091
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30374-2091
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-745-7500
Provider Business Mailing Address Fax Number:
469-298-1219

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
109 CENTRAL EXPY N
Provider Second Line Business Practice Location Address:
SUITE 509
Provider Business Practice Location Address City Name:
ALLEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75013-2645
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-359-6900
Provider Business Practice Location Address Fax Number:
972-359-6902
Provider Enumeration Date:
05/27/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  Q0932 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)