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General NPI Number Information
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NPI Number | 1063497097
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Entity Type | Individual
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Provider Name | HANK C. HILL M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 1665 SOUTH IMPERIAL AVENUE SUITE B
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City | EL CENTRO
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State | CA
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Zip | 92243
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Country | US
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Telephone | 760-312-5999
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Fax | 760-355-9522
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Provider Business Mailing Address
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Address Line | 516 WEST ATEN ROAD SUITE 2
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City | IMPERIAL
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State | CA
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Zip | 92251-9805
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Country | US
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Telephone | 760-355-7730
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Fax | 904-296-5871
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | M-2070
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License Number State | GU
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MTL-2017-081
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License Number State | GU
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Taxonomy #3
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | ME108579
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | M-2070
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License Number State | GU
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Taxonomy #5
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | MTL-2017-081
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License Number State | GU
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Taxonomy #6
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | C159418
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License Number State | CA
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