Provider Demographics
NPI:1225068687
Name:HILL, MALONE V JR (MD)
Entity Type:Individual
Prefix:
First Name:MALONE
Middle Name:V
Last Name:HILL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 26726
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78755-0726
Mailing Address - Country:US
Mailing Address - Phone:512-407-8686
Mailing Address - Fax:512-406-6216
Practice Address - Street 1:1301 W. 38TH ST. #102
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1010
Practice Address - Country:US
Practice Address - Phone:512-454-4561
Practice Address - Fax:512-467-2906
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD8267207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX094771502Medicaid
TX117194404Medicaid
TX117194405Medicaid
TX817421OtherBCBS
TX4048258OtherAETNA TRS
TX92863OtherSCOTT & WHITE
TX817421OtherBCBS
TX117194405Medicaid
TX92863OtherSCOTT & WHITE
TXC16905Medicare ID - Type UnspecifiedMEDICARE PART B
TX094771502Medicaid
TX8L5523Medicare PIN