MEDICARE: JOSHUA JAMES HILER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	29416	TX

General Provider Information

NPI Number	:	1013349547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA JAMES HILER D.D.S.

Provider Business Mailing Address
First Line	:	1530 W 25TH ST UNIT A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1561
Country	:	US
Telephone Number	:	830-322-1456
Fax Number	:

Provider Business Practice Location Address
First Line	:	1142 W DALLAS ST
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-2208
Country	:	US
Telephone Number	:	936-760-1132
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2013
Last Update Date	:	08/07/2013

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