Healthcare Provider Details
I. General information
NPI: 1447447016
Provider Name (Legal Business Name): BARRI HOFFMAN, FNP, P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2007
Last Update Date: 04/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
735 N 5TH ST
SILSBEE TX
77656-3838
US
IV. Provider business mailing address
735 N 5TH ST
SILSBEE TX
77656-3838
US
V. Phone/Fax
- Phone: 409-385-6500
- Fax: 409-385-6505
- Phone: 409-385-6500
- Fax: 409-385-6505
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | 617152 |
| License Number State | TX |
VIII. Authorized Official
Name:
BARRI
HOFFMAN
Title or Position: APRN, BC
Credential: FNP
Phone: 409-385-6500