Healthcare Provider Details

I. General information

NPI: 1588076491
Provider Name (Legal Business Name): JOSHUA HILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 N FRANKFORD AVE
LUBBOCK TX
79416-1545
US

IV. Provider business mailing address

2215 NASHVILLE AVE
LUBBOCK TX
79410-1105
US

V. Phone/Fax

Practice location:
  • Phone: 806-725-5480
  • Fax: 806-723-6156
Mailing address:
  • Phone: 806-725-4800
  • Fax: 806-723-6532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR2621
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: