Organization
RICHARD B. HILL, MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD B HILL MD (PRESIDENT)
(972) 298-4237
Entity
Organization
Contact information
Practice address
921 YORK DR, DESOTO, TX 75115-2043
(972) 298-4237
(972) 298-8356
Mailing address
921 YORK DR, DESOTO, TX 75115-2043
(972) 298-4237
(972) 298-8356
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D9165
TX
2086S0129X
Vascular Surgery Physician
D9165
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00EJ62
MEDICARE PTAN
TX
05
—
032989801
—
TX
01
—
4287347
AETNA PIN
TX
01
—
612952
AETNA PVN
TX
Enumeration date
10/27/2015
Last updated
10/27/2015
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