Healthcare Provider Details

I. General information

NPI: 1730346776
Provider Name (Legal Business Name): JERRON HILL, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 05/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 GLENVIEW LN
THE COLONY TX
75056-3723
US

IV. Provider business mailing address

4101 MCEWEN RD 485
FARMERS BRANCH TX
75244-5112
US

V. Phone/Fax

Practice location:
  • Phone: 972-668-7460
  • Fax: 972-668-7467
Mailing address:
  • Phone: 972-980-0503
  • Fax: 972-980-0503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JERRON HILL
Title or Position: AUTHORIZED REPRESENATIVE/ OWNER
Credential:
Phone: 214-437-4801