Healthcare Provider Details

I. General information

NPI: 1215129739
Provider Name (Legal Business Name): MARK JOSEPH HOBEIKA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 FANNIN ST STE 1601
HOUSTON TX
77030-2717
US

IV. Provider business mailing address

6550 FANNIN ST STE 1601
HOUSTON TX
77030-2717
US

V. Phone/Fax

Practice location:
  • Phone: 713-441-5141
  • Fax:
Mailing address:
  • Phone: 713-441-5141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberP2870
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberP2870
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: