Provider Demographics
NPI:1366651630
Name:HILLIARD, STUART MEHL (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:MEHL
Last Name:HILLIARD
Suffix:
Gender:M
Credentials:MD, FACS
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Mailing Address - Street 1:3201 COLORADO BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6863
Mailing Address - Country:US
Mailing Address - Phone:940-442-6760
Mailing Address - Fax:940-442-6770
Practice Address - Street 1:3201 COLORADO BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6863
Practice Address - Country:US
Practice Address - Phone:940-442-6760
Practice Address - Fax:940-442-6770
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM1763208600000X, 2086S0105X
ORMD26827208600000X, 2086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
6211430001Medicare NSC
TX0A0229Medicare PIN