Individual
JACQUELINE HILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5300 NORTH ST, NACOGDOCHES, TX 75965-1370
(936) 569-8278
(936) 569-0275
Mailing address
5300 NORTH ST, NACOGDOCHES, TX 75965-1370
(936) 569-8278
(936) 569-0275
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04663T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154712701
—
TX
01
—
80760Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/02/2006
Last updated
12/28/2007
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