Basic Information
Provider Information
NPI: 1033373279
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOFFMAN
FirstName: MARCUS
MiddleName: K
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 BAYLOR PLZ
Address2: MS: BCM390
City: HOUSTON
State: TX
PostalCode: 770303411
CountryCode: US
TelephoneNumber: 7137988051
FaxNumber: 7137982744
Practice Location
Address1: 6620 MAIN ST
Address2: SUITE 1350
City: HOUSTON
State: TX
PostalCode: 770302348
CountryCode: US
TelephoneNumber: 7137982262
FaxNumber: 7137988131
Other Information
ProviderEnumerationDate: 07/16/2008
LastUpdateDate: 07/22/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/22/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XMT190540PAN Allopathic & Osteopathic PhysiciansSurgery 
208600000XQ8905TXN Allopathic & Osteopathic PhysiciansSurgery 
2086S0102XQ8905TXY Allopathic & Osteopathic PhysiciansSurgerySurgical Critical Care

No ID Information.


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