Healthcare Provider Details

I. General information

NPI: 1063497097
Provider Name (Legal Business Name): HANK C. HILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1665 S IMPERIAL AVE STE B
EL CENTRO CA
92243-4247
US

IV. Provider business mailing address

5130 GATEWAY BLVD E
EL PASO TX
79905-1608
US

V. Phone/Fax

Practice location:
  • Phone: 760-312-5999
  • Fax: 760-355-9522
Mailing address:
  • Phone: 915-215-4480
  • Fax: 915-215-5386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMTL-2017-081
License Number StateGU
# 2
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberW1432
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberMTL-2017-081
License Number StateGU
# 4
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberC159418
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberM-2070
License Number StateGU
# 6
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberM-2070
License Number StateGU
# 7
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberW1432
License Number StateTX
# 8
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberME108579
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: