MEDICARE: RICHARD B HILL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	D9165	TX
2	2086S0129X	Vascular Surgery Physician	D9165	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	4287347	OTHER	AETNA HEALTH INC PPO
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0612952	OTHER	AETNA HEALTH INC HMO

General Provider Information

NPI Number	:	1023170396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD B HILL MD

Provider Business Mailing Address
First Line	:	921 YORK DRIVE
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-2043
Country	:	US
Telephone Number	:	972-298-4237
Fax Number	:	972-298-8356

Provider Business Practice Location Address
First Line	:	921 YORK DRIVE
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-2043
Country	:	US
Telephone Number	:	972-298-4237
Fax Number	:	972-298-8356

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	10/26/2015

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Directions to “ RICHARD B HILL MD” Practice Location

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