Healthcare Provider Details

I. General information

NPI: 1073639761
Provider Name (Legal Business Name): THOMAS ANDREW HOVENIC M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10121 PINE AVE
TRUCKEE CA
96161-4856
US

IV. Provider business mailing address

10121 PINE AVE
TRUCKEE CA
96161-4856
US

V. Phone/Fax

Practice location:
  • Phone: 530-587-6011
  • Fax: 530-587-4278
Mailing address:
  • Phone: 530-587-6011
  • Fax: 530-587-4278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberA126511
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: