Individual
BILLY WRAY HILLMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
426 HIGHWAY 308, THIBODAUX, LA 70301-5752
(985) 447-2628
(985) 447-2048
Mailing address
426 HIGHWAY 308, THIBODAUX, LA 70301-5752
(985) 447-2628
(985) 447-2048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017144
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1347507
—
LA
01
—
1538330337
MEDICARE NPI
—
01
—
1972529402
INDIVIDUAL NPI
—
Enumeration date
07/15/2006
Last updated
06/30/2010
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