Healthcare Provider Details

I. General information

NPI: 1932015120
Provider Name (Legal Business Name): HENRY EUGENE HOOKS III RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3640 HIGH ST STE 1E
PORTSMOUTH VA
23707-3213
US

IV. Provider business mailing address

937 LECKIE ST
PORTSMOUTH VA
23704-1901
US

V. Phone/Fax

Practice location:
  • Phone: 757-399-2639
  • Fax: 757-397-3950
Mailing address:
  • Phone: 757-537-6273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: