Provider Demographics
NPI:1437191681
Name:HILMERS, DAVID C (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:HILMERS
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 1:1504 TAUB LOOP
Mailing Address - Street 2:SUITE 2-RM81
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2316
Mailing Address - Country:US
Mailing Address - Phone:713-873-3560
Mailing Address - Fax:713-798-6400
Practice Address - Street 1:1504 TAUB LOOP
Practice Address - Street 2:SUITE 2-RM81
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1608
Practice Address - Country:US
Practice Address - Phone:713-873-3560
Practice Address - Fax:713-798-6400
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1750207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX125058104Medicaid
TX125058101Medicaid
TX125058106Medicaid
TX125058106Medicaid
TX8G5838Medicare PIN
TXH09191Medicare UPIN
TX125058104Medicaid