# DR. THOMAS MICHAEL HILLIS JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053381335
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | E-3068 | AR | — |
| 207Q00000X | Family Medicine Physician | E3068 | AR | Yes |

## Other

- **Enumeration date:** 01/26/2006
- **Last updated:** 04/05/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0062731 | UMWA H&R FUNDS | AR |
| 01 | — | 020407900 | BLACK LUNG PROGRAM | AR |
| 01 | — | 02110033600 | QUALCHOICE | AR |
| 01 | — | 0790780001 | PALMETTO GBA | AR |
| 05 | — | 145380001 | — | AR |
| 01 | — | 2231992 | UNITED HEALTHCARE | CA |
| 01 | — | 521328 | HEALTH LINK | AR |
| 01 | — | 5M029 | BLUECROSSBLUESHIELD ARK | AR |
| 01 | — | 7890433 | AETNA INSURANCE COMPANY | AR |
| 01 | — | P00011418 | RAILROAD MEDICARE/PALMETT | AR |
| 01 | — | XX12984 | HEALTH PLUS OF MICHIGAN | AR |