| Doctor Name: | MRS. MISTY JO HILDUM |
| NPI Number: | 1750469144 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | 100030 |
| Business Practice Address: | 4500 Bissonnet St Suite 340 Bellaire, TX - 774013120 |
| Business Phone Number: | 7138389050 |
| Business Fax Number: | |
| Mailing Address: | 8314 Green Valley Dr, SUGAR LAND |
| State: | TX |
| Postal Code: | 774796926 |
| Phone Number: | 2815461055 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 02/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 100030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |