Provider Demographics
NPI:1578361325
Name:HILLSIDE ALLIANCE, LLC
Entity type:Organization
Organization Name:HILLSIDE ALLIANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. MGR. OF RESEARCH & INNOVATION
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TYLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-491-6066
Mailing Address - Street 1:1005 S CROWLEY RD
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-4282
Mailing Address - Country:US
Mailing Address - Phone:903-491-6066
Mailing Address - Fax:
Practice Address - Street 1:2745 E BELT LINE RD
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-5436
Practice Address - Country:US
Practice Address - Phone:945-298-1911
Practice Address - Fax:945-298-1901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care