MEDICARE: DR. JAMES LEONARD HILLIARD 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	2080N0001X	Neonatal-Perinatal Medicine Physician	E5387	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E5387	OTHER	TX	TEXAS MEDICAL LICENSE

General Provider Information

NPI Number	:	1780647008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES LEONARD HILLIARD MD

Provider Business Mailing Address
First Line	:	5414 FREDERICKSBURG RD
Second Line	:	SUITE 100
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3641
Country	:	US
Telephone Number	:	210-541-8281
Fax Number	:	210-541-9123

Provider Business Practice Location Address
First Line	:	5414 FREDERICKSBURG RD
Second Line	:	SUITE 100
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3641
Country	:	US
Telephone Number	:	210-541-8281
Fax Number	:	210-541-9123

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

Provider Enumeration Date	:	04/08/2006
Last Update Date	:	07/08/2007

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