MEDICARE: DR. NATHAN ROLLINS HOOT MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	P2674	TX

General Provider Information

NPI Number	:	1386887966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHAN ROLLINS HOOT MD, PHD

Provider Business Mailing Address
First Line	:	6431 FANNIN, 4TH FLOOR JJL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	713-500-7878
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 JOHN FREEMAN BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2809
Country	:	US
Telephone Number	:	713-500-7878
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2009
Last Update Date	:	07/15/2012

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