Individual
THOMAS MICHAEL HILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6412 WINDY HILL DR, TEXARKANA, AR 71854-8198
(870) 330-4577
(903) 614-3525
Mailing address
2900 SAINT MICHAEL DR STE 307, TEXARKANA, TX 75503-2343
(903) 614-5356
(903) 614-5399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
C4830
AR
208600000X
Surgery Physician
Primary
F4867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107509001
—
AR
05
—
115216702
—
TX
Enumeration date
08/02/2005
Last updated
03/18/2025
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