Healthcare Provider Details

I. General information

NPI: 1801682018
Provider Name (Legal Business Name): JAMES HOFFMAN PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 04/15/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 WEST 761ST TANK BATTALION AVENUE
FORT CAVAZOS TX
76544
US

IV. Provider business mailing address

136 761ST TANK BATTALION AVE. BLDG 136 STE MR001 PMB16
FORT CAVAZOS TX
76544-5041
US

V. Phone/Fax

Practice location:
  • Phone: 254-287-5410
  • Fax:
Mailing address:
  • Phone: 321-412-3319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1232203
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: