Provider Demographics
NPI:1013111632
Name:T WILLIAM HILL MD INC
Entity Type:Organization
Organization Name:T WILLIAM HILL MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAUNO
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-882-1759
Mailing Address - Street 1:401 E HIGHLAND AVE
Mailing Address - Street 2:SUITE 551
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92404-3803
Mailing Address - Country:US
Mailing Address - Phone:909-882-1759
Mailing Address - Fax:909-881-1132
Practice Address - Street 1:401 E HIGHLAND AVE
Practice Address - Street 2:SUITE 551
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-3803
Practice Address - Country:US
Practice Address - Phone:909-882-1759
Practice Address - Fax:909-881-1132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG31348207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty