MEDICARE: DAVID WILBUR HOBSON MD

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	207V00000X	Obstetrics & Gynecology Physician	G0909	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	8F8979	OTHER	TX	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	00D69E	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1750360343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID WILBUR HOBSON MD

Provider Business Mailing Address
First Line	:	800 W SAM HOUSTON PKWY S
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77042-1908
Country	:	US
Telephone Number	:	713-462-6565
Fax Number	:	832-831-5369

Provider Business Practice Location Address
First Line	:	1615 HILLENDAHL BLVD STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-3402
Country	:	US
Telephone Number	:	713-462-6565
Fax Number	:	832-831-5369

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

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	03/02/2022

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Directions to “ DAVID WILBUR HOBSON MD” Practice Location

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