Active NPI
David Wilbur Hobson, MD
- Obstetrics & Gynecology Physician
- Houston, TX
National Provider Identifier
1750360343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G0909
- Practice address
- 1615 Hillendahl Blvd Ste 100
Houston, TX 77055-3402 - Phone
- (713) 462-6565
- Fax
- (832) 831-5369
- NPI assigned
- Jan 11, 2006
- Last updated
- Mar 2, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G0909 | TX | Primary |
Addresses
Primary practice location
1615 Hillendahl Blvd Ste 100
Houston, TX 77055-3402
Mailing address
800 W Sam Houston Pkwy S
Suite 200
Houston, TX 77042-1908
Phone (713) 462-6565
Other practice location 1
605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 539-4004
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 097905601 | Medicaid | TX | |
| 8F8979 | Other | TX | MEDICARE PTAN |
| P000D69E8 | Medicaid | TX | |
| 00D69E | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G0909 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Center | Current | Accepting new patients | |
| Memorial Medical Center | Current | Accepting new patients | |
| Dallas County Mental Health & Mental Retardation Center | Past | Accepting new patients |
Locations
815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Port Lavaca, TX
- NPI 1689630865
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dba Metrocare Services
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- Dallas, TX
- NPI 1023239886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1750360343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W SAM HOUSTON PKWY S",
"address_2": "SUITE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770421908",
"telephone_number": "713-462-6565",
"fax_number": "832-831-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 HILLENDAHL BLVD STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770553402",
"telephone_number": "713-462-6565",
"fax_number": "832-831-5369"
}
],
"practiceLocations": [
{
"address_1": "605 S Conroe Medical Dr",
"address_purpose": "LOCATION",
"city": "Conroe",
"state": "TX",
"postal_code": "773044722",
"country_code": "US",
"telephone_number": "936-539-4004",
"fax_number": "936-539-3635",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOBSON",
"first_name": "DAVID",
"middle_name": "WILBUR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "G0909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097905601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8F8979",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000D69E8",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00D69E",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.