Provider Demographics
NPI:1881687002
Name:HILZ, MICHAEL E (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:E
Last Name:HILZ
Suffix:
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 1:600 E TAYLOR ST STE 3008
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2849
Mailing Address - Country:US
Mailing Address - Phone:903-893-6166
Mailing Address - Fax:903-957-0355
Practice Address - Street 1:600 E TAYLOR ST STE 3008
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2849
Practice Address - Country:US
Practice Address - Phone:903-893-6166
Practice Address - Fax:903-957-0355
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3464208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX033504401Medicaid
TXTXB161838Medicare PIN
TXD34797Medicare UPIN
TX033504401Medicaid
TXTXB161840Medicare PIN
TXTXB161844Medicare PIN