Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HOLLIS TIDMORE, MD
ActiveDR. HOLLIS TIDMORE, MD is a General Surgery healthcare provider located in HOUSTON, Missouri. NPI 1962473975 is currently active in the NPPES registry. Verify at CMS.
General Surgery · HOUSTON, MO
Registration Details
- NPI Number
- 1962473975
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2006 (20.356602776149 yrs)
- Last Updated
- Jan 31, 2023
- Licenses
-
2009005897 (MO)2009005897 (MO)2009005897 (MO)
Practice Information
- Address
-
1422 S SAM HOUSTON BLVDHOUSTON, MO, 654832130Browse MO providers · Browse ZIP 65483
- Phone
- 4179671252
- Fax
- 4179670417
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
- Additional Specialty
- Trauma Surgery
Other General Surgery Providers in HOUSTON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS R. STUBBS | M.D. | 1245279819 |
| DR. JOHN DAVID HARRINGTON | MD | 1992729156 |
| DR. SHERRY L. PHIPPEN-GESUALDI | MD | 1336298918 |
| JASON MATTHEW LODEN | DO | 1710327879 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.