Provider Demographics
NPI:1477742187
Name:TOM A HILL M.D. PA
Entity Type:Organization
Organization Name:TOM A HILL M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-731-9300
Mailing Address - Street 1:1015 E 32ND ST
Mailing Address - Street 2:STE 406
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2701
Mailing Address - Country:US
Mailing Address - Phone:512-495-1850
Mailing Address - Fax:512-495-1883
Practice Address - Street 1:1015 E 32ND ST
Practice Address - Street 2:STE 406
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2701
Practice Address - Country:US
Practice Address - Phone:512-495-1850
Practice Address - Fax:512-495-1883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD9496207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0031GSOtherBCBS
TX146577501Medicaid
TX00522RMedicare PIN