Provider Demographics
NPI:1598047920
Name:WIST, HILDA G (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:HILDA
Middle Name:G
Last Name:WIST
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:5400 WESTHEIMER CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5353
Mailing Address - Country:US
Mailing Address - Phone:713-627-5476
Mailing Address - Fax:713-627-5499
Practice Address - Street 1:5400 WESTHEIMER CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5353
Practice Address - Country:US
Practice Address - Phone:713-627-5476
Practice Address - Fax:713-627-5499
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-12
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX433477363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily