Individual
DR. THOMAS MICHAEL HILLIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6248
(479) 314-6159
Mailing address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6248
(479) 314-6159
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-3068
AR
207Q00000X
Family Medicine Physician
Primary
E3068
AR
Other
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
Enumeration date
01/26/2006
Last updated
04/05/2017
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