Provider Demographics
NPI:1962473827
Name:DILLIN, WILLIAM HUGO (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HUGO
Last Name:DILLIN
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 1:10000 N CENTRAL EXPY STE 400
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4180
Mailing Address - Country:US
Mailing Address - Phone:800-714-7720
Mailing Address - Fax:
Practice Address - Street 1:7901 JOHN W CARPENTER FWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-4832
Practice Address - Country:US
Practice Address - Phone:972-838-1132
Practice Address - Fax:469-802-0070
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC40328207XS0117X
AZ62368207XS0117X
FLME148112207XS0117X
NV21125207XS0117X
TXF1507207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA37363Medicare ID - Type Unspecified