Provider Demographics
NPI:1538330337
Name:BILLY W. HILLMAN,JR, MD, APMC
Entity Type:Organization
Organization Name:BILLY W. HILLMAN,JR, MD, APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:W
Authorized Official - Last Name:HILLMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:985-447-2628
Mailing Address - Street 1:426 HIGHWAY 308
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-5752
Mailing Address - Country:US
Mailing Address - Phone:985-447-2628
Mailing Address - Fax:
Practice Address - Street 1:426 HIGHWAY 308
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-5752
Practice Address - Country:US
Practice Address - Phone:985-447-2628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA017144207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1347507Medicaid
LAP00022233OtherRAILROAD MEDICARE
LAP00022233OtherRAILROAD MEDICARE