Individual
DR. COMMIE L. HISEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1308 SAINT LOUIS ST STE B, GONZALES, TX 78629-2293
(830) 857-6884
(830) 672-2080
Mailing address
PO BOX 574, GONZALES, TX 78629-0574
(830) 857-6884
(830) 672-2080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H9521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139981813
—
TX
01
—
H9521
TEXAS STATE LICENSE
TX
Enumeration date
08/11/2005
Last updated
12/10/2025
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