=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942720354
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HEIDI LEANN HOKE PHD, ND, CHT.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/27/2017
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 123 N. LINE ST.
-----------------------------------------------------
City | MINEOLA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75773
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-569-9913
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 123 N. LINE ST.
-----------------------------------------------------
City | MINEOLA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75773
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-569-9913
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133NN1002X
-----------------------------------------------------
Taxonomy Name | Nutrition Education Nutritionist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 175F00000X
-----------------------------------------------------
Taxonomy Name | Naturopath
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------