| NPI | 1134452964 |
|---|---|
| Doing Business As | T. CHARLES HILLIS, DO |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CHARLES HILLIS Owner/Principal 575-763-4057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2013-05-10 |