Individual
HENRY K HILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9TH AND WASHINGTON BLDG 356 C, CIMARRON HEALTH CARE CLINIC, CIMARRON, NM 87714
(505) 376-2402
(505) 376-2107
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5654
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9049
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6931
—
NM
Enumeration date
10/04/2006
Last updated
07/16/2008
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