MRS. HILLERY GABRIELLE KEY


Address: 13709 Ponderosa Ranch Rd, Roanoke, TX 76262-4535
Phone: 9403374293

MRS. HILLERY GABRIELLE KEY (NPI# 1770832388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770832388
Entity Type Individual
Full Name MRS. HILLERY GABRIELLE KEY
Credential CST/CSFA
Practice Address 13709 Ponderosa Ranch Rd
Roanoke
TX 76262-4535
Mailing Address 3953 Long Hollow Rd
Roanoke
TX 76262-3831
Practice Telephone 9403374293
Mailing Telephone 9403374293
Enumeration Date 2012-08-29
Last Update Date 2017-05-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 13709 PONDEROSA RANCH RD
City ROANOKE
State TX
Zip Code 76262-4535

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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1548708670 Mackenzie Meador Patterson Physician Assistant 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2017-02-09
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1518401272 Brian Buccola Physician Assistant 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2016-12-14
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Competitor

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City ROANOKE
Zip Code 76262

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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