Basic Information
Provider Information
NPI: 1851701247
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOFFMAN
FirstName: MARIA
MiddleName: JOSE
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6620 MAIN STREET
Address2: 11TH FLOOR, 11B.17.1
City: HOUSTON
State: TX
PostalCode: 77030
CountryCode: US
TelephoneNumber: 5169966067
FaxNumber: 7137980111
Practice Location
Address1: 3720 BERTNER AV
Address2:  
City: HOUSTON
State: TX
PostalCode: 77030
CountryCode: US
TelephoneNumber: 5169966067
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/06/2014
LastUpdateDate: 07/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XP9909TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XP9909TXY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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