MEDICARE: ASHLEY HOFFMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	38082	TX

General Provider Information

NPI Number	:	1043621287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY HOFFMAN

Provider Business Mailing Address
First Line	:	14 BRIERCROFT OFFICE PARK
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79412-3035
Country	:	US
Telephone Number	:	806-795-7123
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 BRIERCROFT OFFICE PARK
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79412-3035
Country	:	US
Telephone Number	:	806-795-7123
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2014
Last Update Date	:	05/09/2014

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Directions to “ ASHLEY HOFFMAN ” Practice Location

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