Healthcare Provider Details

I. General information

NPI: 1437181534
Provider Name (Legal Business Name): FRANK J. HOFFMANN III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 09/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 OAK DR S SUITE 104
LAKE JACKSON TX
77566-5676
US

IV. Provider business mailing address

201 OAK DR S SUITE 104
LAKE JACKSON TX
77566-5676
US

V. Phone/Fax

Practice location:
  • Phone: 979-297-3004
  • Fax: 979-297-3833
Mailing address:
  • Phone: 979-297-3004
  • Fax: 979-297-3833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberF1654
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: