Healthcare Provider Details

I. General information

NPI: 1366651630
Provider Name (Legal Business Name): STUART MEHL HILLIARD M.D., F.A.C.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 COLORADO BLVD STE 103
DENTON TX
76210-6929
US

IV. Provider business mailing address

3201 COLORADO BLVD STE 103
DENTON TX
76210-6929
US

V. Phone/Fax

Practice location:
  • Phone: 940-442-6760
  • Fax: 940-442-6770
Mailing address:
  • Phone: 940-442-6760
  • Fax: 940-442-6770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberM1763
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberM1763
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD26827
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberMD26827
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: