Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Hollis Tidmore, MD

Individual provider Vascular Surgery Physician · NPI 1962473975

Dr. Hollis Tidmore, MD is a Vascular Surgery Physician in Houston, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1422 S Sam Houston Blvd
Houston, MO 65483-2130
Phone: (417) 967-1252
Fax: (417) 967-0417
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2009005897 (MO)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 2009005897 (MO)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 2009005897 (MO)

Record details

NPI number1962473975
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 28, 2006
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023