Provider Demographics
NPI:1689791980
Name:HILL, ERIC M (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:M
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7610 N STEMMONS FWY STE 600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4228
Mailing Address - Country:US
Mailing Address - Phone:214-689-5960
Mailing Address - Fax:469-713-8084
Practice Address - Street 1:7620 NE LOOP 820
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-8302
Practice Address - Country:US
Practice Address - Phone:817-284-2693
Practice Address - Fax:817-284-1819
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN8518207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4156009OtherBLUE CROSS
TN3000190Medicaid
KY7100036360OtherKENTUCKY MEDICAID
7734952OtherAETNA
P00408293OtherRAILROAD MEDICARE
TX2885097-02Medicaid
TX8CV655OtherBCBSTX
TXTXB132759Medicare PIN
TN3000190Medicaid