Provider Demographics
NPI:1053350124
Name:PARKHILL, BILLY JERALD (MD)
Entity type:Individual
Prefix:
First Name:BILLY
Middle Name:JERALD
Last Name:PARKHILL
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:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75461-0100
Mailing Address - Country:US
Mailing Address - Phone:903-785-6029
Mailing Address - Fax:903-785-5421
Practice Address - Street 1:3015 NE LOOP 286
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-3433
Practice Address - Country:US
Practice Address - Phone:903-785-8521
Practice Address - Fax:903-739-8439
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF18852085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
8F2584Medicare ID - Type Unspecified
84R650Medicare ID - Type Unspecified
81R118Medicare ID - Type Unspecified
8F0872Medicare ID - Type Unspecified
C20219Medicare UPIN
86713RMedicare ID - Type Unspecified
30018073Medicare ID - Type UnspecifiedRAILROAD
8A0478Medicare ID - Type Unspecified