Provider Demographics
NPI:1598894206
Name:HILKER, JERRY DEAN (ATC, LAT, MSED)
Entity Type:Individual
Prefix:MR
First Name:JERRY
Middle Name:DEAN
Last Name:HILKER
Suffix:
Gender:M
Credentials:ATC, LAT, MSED
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7730 FALCON DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-5981
Mailing Address - Country:US
Mailing Address - Phone:361-825-2035
Mailing Address - Fax:361-825-3876
Practice Address - Street 1:6300 OCEAN DR
Practice Address - Street 2:UNIT # 5719
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-5503
Practice Address - Country:US
Practice Address - Phone:361-825-2035
Practice Address - Fax:361-825-3876
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT34092255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer