Healthcare Provider Details

I. General information

NPI: 1255632758
Provider Name (Legal Business Name): DENA HOHMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENA NOGHREHKAR MD

II. Dates (important events)

Enumeration Date: 11/15/2010
Last Update Date: 06/24/2022
Certification Date: 06/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6606 LBJ FWY SUITE 200
DALLAS TX
75240-6533
US

IV. Provider business mailing address

PO BOX 840853
DALLAS TX
75284-0865
US

V. Phone/Fax

Practice location:
  • Phone: 972-715-5000
  • Fax: 972-715-9976
Mailing address:
  • Phone: 972-233-1999
  • Fax: 972-233-3666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number269290
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberP8960
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: