Organization
JERRON C. HILL, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRON C. HILL (OWNER / AUTHORIZED OFFICIAL)
(972) 488-8926
Entity
Organization
Contact information
Practice address
6757 ARAPAHO RD, SUITE 711 PMB 335, DALLAS, TX 75248-4005
(972) 488-8926
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0054QF
BLUE SHIELD
TX
Enumeration date
06/18/2006
Last updated
03/21/2008
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