Provider Demographics
NPI:1861895310
Name:HILL, TERRY
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:
Last Name:HILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8215 UNIVERSITY AVE
Mailing Address - Street 2:UNIT 100
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-3168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8215 UNIVERSITY AVE
Practice Address - Street 2:UNIT 100
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-3168
Practice Address - Country:US
Practice Address - Phone:806-698-1083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-29
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50381237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist