DR. Hollis Tidmore, MD

NPI #1962473975 in Houston, Missouri

Provider Information

NPI Number: 1962473975
Entity Type: Individual
Name: DR. Hollis Tidmore, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jan 28, 2006
Last Updated: Jan 31, 2023

Practice Location

Address: 1422 S SAM HOUSTON BLVD
City: Houston
State: Missouri
ZIP Code: 65483-2130
Phone: (417) 967-1252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Surgery	208600000X	Primary
Surgery - Trauma Surgery — Trauma Surgery	2086S0127X

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