Individual
DR. JASON M HILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
WILLIAM BEAUMONT ARMY MEDICAL CENTER, 18511 HIGHLANDER MEDICS STREET, FORT BLISS, TX 79918
(915) 742-2273
Mailing address
20501 US HIGHWAY 62/180, EL PASO, TX 79938-8132
(915) 235-5520
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD2015-0807
NM
208600000X
Surgery Physician
Primary
S8572
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33910
STATE LISCENSE
IA
Enumeration date
03/27/2006
Last updated
12/14/2023
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