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Individual
MILDRED MARIE HILLIS
Active
Individual
MILDRED MARIE HILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
706128
TX
164W00000X
Licensed Practical Nurse
168899
TX
363LF0000X
Family Nurse Practitioner
Primary
1169501
TX
Other
Enumeration date
06/12/2024
Last updated
07/19/2024
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