Provider Demographics
NPI:1477642304
Name:HILLIARD, ROBERT LM JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LM
Last Name:HILLIARD
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 1:2000 CRAWFORD
Mailing Address - Street 2:SUITE 1220
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002
Mailing Address - Country:US
Mailing Address - Phone:713-520-9929
Mailing Address - Fax:
Practice Address - Street 1:2000 CRAWFORD
Practice Address - Street 2:SUITE 1220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002
Practice Address - Country:US
Practice Address - Phone:713-520-9929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8576174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG18126Medicare UPIN
TX00530TMedicare ID - Type Unspecified