| Doctor Name: | HENRY K HILLMAN |
| NPI Number: | 1235224403 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 9049 |
| Business Practice Address: | 9th And Washington Bldg 356 C Cimarron Health Care Clinic Cimarron, NM - 87714 |
| Business Phone Number: | 5053762402 |
| Business Fax Number: | 5053762107 |
| Mailing Address: | Po Box 26666, Phs Provider Enrollment ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871256666 |
| Phone Number: | 5059235356 |
| Fax Number: | 5059235654 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 07/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 9049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |