NPI Code Details Logo

NPI 1083669535

NPI 1083669535 : SAMUEL BENNETT SLADE HOOKS III M.D. : MOBILE, AL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1083669535
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SAMUEL BENNETT SLADE HOOKS III M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/23/2006
-----------------------------------------------------
    Last Update Date     |    03/20/2019
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1720 SPRINGHILL AVE SUITE 300
-----------------------------------------------------
    City                 |    MOBILE
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    36604-1410
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    251-435-1200
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1720 SPRINGHILL AVE SUITE 300
-----------------------------------------------------
    City                 |    MOBILE
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    36604-1410
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    251-435-1200
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    38197
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    00027276
-----------------------------------------------------
    License Number State |    AL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    N2568
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207RG0100X
-----------------------------------------------------
    Taxonomy Name        |    Gastroenterology Physician
-----------------------------------------------------
    License Number       |    N2568
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.