Healthcare Provider Details

I. General information

NPI: 1275723660
Provider Name (Legal Business Name): DAISY CHRISTINA HOFFERT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2007
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 ADAMS ST STE 201
SAINT HELENA CA
94574-1175
US

IV. Provider business mailing address

3827 N 10TH ST STE 305
MCALLEN TX
78501-1745
US

V. Phone/Fax

Practice location:
  • Phone: 707-967-0800
  • Fax:
Mailing address:
  • Phone: 956-803-0748
  • Fax: 956-803-0711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA1054
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: