Healthcare Provider Details
I. General information
NPI: 1174736672
Provider Name (Legal Business Name): DENIS K. HOASJOE MD PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/08/2007
Last Update Date: 11/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4301 GARTH RD STE 216
BAYTOWN TX
77521-3158
US
IV. Provider business mailing address
4301 GARTH RD STE 216
BAYTOWN TX
77521-3158
US
V. Phone/Fax
- Phone: 281-422-9167
- Fax: 281-422-2257
- Phone: 281-422-9167
- Fax: 281-422-2257
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YX0905X |
| Taxonomy | Otolaryngology/Facial Plastic Surgery Physician |
| License Number | K3240 |
| License Number State | TX |
VIII. Authorized Official
Name: MISS
JENNIFER
EASTERLY
Title or Position: OFFICE MANAGER
Credential:
Phone: 281-422-9167