Basic Information
| Provider Information | |||||||||
| NPI: | 1730346776 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JERRON HILL, MD, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4101 MCEWEN RD | ||||||||
| Address2: | 485 | ||||||||
| City: | FARMERS BRANCH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752445112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9729800503 | ||||||||
| FaxNumber: | 9729800503 | ||||||||
| Practice Location | |||||||||
| Address1: | 5601 GLENVIEW LN | ||||||||
| Address2: | |||||||||
| City: | THE COLONY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750563723 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726687460 | ||||||||
| FaxNumber: | 9726687467 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2008 | ||||||||
| LastUpdateDate: | 05/21/2015 | ||||||||
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| AuthorizedOfficialLastName: | HILL | ||||||||
| AuthorizedOfficialFirstName: | JERRON | ||||||||
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| AuthorizedOfficialTitleorPosition: | AUTHORIZED REPRESENATIVE/ OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2144374801 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.