Active NPI
Harry Douglas Vildibill III, MD
- Otolaryngology Physician
- Houston, TX
National Provider Identifier
1417643107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 766048
- Practice address
- 1 Baylor PLZ
Houston, TX 77030-3498 - Phone
- (713) 798-4951
- NPI assigned
- Apr 14, 2023
- Last updated
- Apr 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 766048 | TX | Primary |
Addresses
Primary practice location
1 Baylor PLZ
Houston, TX 77030-3498
Mailing address
4122 Quail Hollow Rd
Albany, GA 31721-2838
Phone (229) 669-6929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 766048 | TX | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1417643107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4122 QUAIL HOLLOW RD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317212838",
"telephone_number": "229-669-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BAYLOR PLZ",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303498",
"telephone_number": "713-798-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILDIBILL",
"first_name": "HARRY",
"middle_name": "DOUGLAS",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-14",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "766048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Kelsi Ann Vilardo, PA-C
- Souriya Vilaysane
- Gustavo Vilchez Lagos, M.D.
- Manuel Arnaldo Vilchez-Diaz, M.D.
- Brittney Vild, PT, DPT
- Ronald Jason Vilela, M.D.
- Laura Vilella Bertran
- Vileno Therapy of Treasure Coast LP (Treasure Coast Hand & Physical Therapy)
- Vilien T Dong (AC Medical Supplies & Equipment)
- Arianna Marie Villa, APRN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.