Provider Demographics
NPI:1750348348
Name:HILL, KAREN (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 GREENWAY PLAZA, SUITE 2950
Mailing Address - Street 2:REDICLINIC
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77046
Mailing Address - Country:US
Mailing Address - Phone:713-335-1749
Mailing Address - Fax:713-358-4896
Practice Address - Street 1:9 GREENWAY PLAZA, SUITE 2950
Practice Address - Street 2:REDICLINIC
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77046
Practice Address - Country:US
Practice Address - Phone:713-335-1749
Practice Address - Fax:713-358-4896
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0823207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137969511Medicaid
TX0049HGOtherBCBS OF TX
TX0049HGOtherBCBS OF TX
TX00863RMedicare ID - Type UnspecifiedMEDICARE ID