Healthcare Provider Details

I. General information

NPI: 1720425630
Provider Name (Legal Business Name): CHERYL LYNN HOBBS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2013
Last Update Date: 04/09/2021
Certification Date: 04/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8445 MEMORIAL BLVD STE 500
PORT ARTHUR TX
77640
US

IV. Provider business mailing address

2900 SAINT MICHAEL DR STE 401
TEXARKANA TX
75503-5211
US

V. Phone/Fax

Practice location:
  • Phone: 409-982-6461
  • Fax: 409-938-7461
Mailing address:
  • Phone: 903-614-5367
  • Fax: 903-614-5343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP123679
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: