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NPI Code Detail

MEDICARE: DURELL A HILLER III MD

MEDICARE: DURELL A HILLER III 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
1207VG0400XGynecology PhysicianG5924TX
2207VG0400XGynecology PhysicianR3309AR

General Provider Information

NPI Number : 1811997703
Entity Type Code : Individual
Provider Name (Legal Business Name) : DURELL A HILLER III MD
Provider Business Mailing Address
First Line : 5002 COWHORN CREEK RD
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-9766
Country : US
Telephone Number : 903-614-3000
Fax Number : 903-614-3525
Provider Business Practice Location Address
First Line : 5002 COWHORN CREEK RD
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-9766
Country : US
Telephone Number : 903-614-3000
Fax Number : 903-614-3525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 07/14/2007

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Directions to “ DURELL A HILLER III MD” Practice Location

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