=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275751885
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LOIS MARY HOOPER NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2214 PARANA DR 909 FROSTWOOD #135
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77080-5225
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-782-6622
-----------------------------------------------------
Fax | 713-782-6685
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2214 PARANA DR
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77080-5225
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-464-2786
-----------------------------------------------------
Fax | 713-782-6685
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number | 432814
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------