Provider Demographics
NPI:1063232213
Name:HILTON, TIRSNEE L
Entity type:Individual
Prefix:
First Name:TIRSNEE
Middle Name:L
Last Name:HILTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5109 SE 80TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73135-6343
Mailing Address - Country:US
Mailing Address - Phone:817-525-5198
Mailing Address - Fax:
Practice Address - Street 1:5109 SE 80TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-6343
Practice Address - Country:US
Practice Address - Phone:817-525-5198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator