Basic Information
| Provider Information | |||||||||
| NPI: | 1598833592 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOYT | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 919 HIDDEN RDG | ||||||||
| Address2: | |||||||||
| City: | IRVING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750383813 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4692822711 | ||||||||
| FaxNumber: | 4692820996 | ||||||||
| Practice Location | |||||||||
| Address1: | 2014 S WHEELER ST | ||||||||
| Address2: | STE 170 | ||||||||
| City: | JASPER | ||||||||
| State: | TX | ||||||||
| PostalCode: | 759515624 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4093841882 | ||||||||
| FaxNumber: | 4093830973 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2006 | ||||||||
| LastUpdateDate: | 04/09/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 01056839A | IN | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | Q3201 | TX | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | P02601507 | 01 | TX | MCRR | OTHER | 345127001 | 05 | TX | MEDICAID | 1K0573 | 01 | TX | MEDICARE | OTHER | 345127002 | 05 | TX | MEDICAID |