DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JERRY EDWARD HOOVER

MEDICARE: JERRY EDWARD HOOVER
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
1101YA0400XAddiction (Substance Use Disorder) Counselor11460TX

General Provider Information

NPI Number : 1053953034
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERRY EDWARD HOOVER
Provider Business Mailing Address
First Line : 2010 AL LIPSCOMB WAY
Second Line :
City : DALLAS
State : TX
Zip : 75215-2773
Country : US
Telephone Number : 214-421-6705
Fax Number :
Provider Business Practice Location Address
First Line : 2010 AL LIPSCOMB WAY
Second Line :
City : DALLAS
State : TX
Zip : 75215-2773
Country : US
Telephone Number : 214-421-6705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2019
Last Update Date : 10/11/2019

Similar Medicare Providers

1538514294 — THE MEN OF NEHEMIAH INC.
Practice Location Address:
2010 AL LIPSCOMB WAY
DALLAS, TX
75215-2773
Practice Phone: 214-421-6705
Practice Fax: 214-421-0484
1144879412 — MR. JOHN FRANKLIN MILLER IV LPC, LCDC
Practice Location Address:
2010 AL LIPSCOMB WAY
DALLAS, TX
75215-2773
Practice Phone: 214-876-8687
Practice Fax:
1588213854 — MICHAEL HOUSEHOLDER LCDC
Practice Location Address:
2010 AL LIPSCOMB WAY
DALLAS, TX
75215-2773
Practice Phone: 469-516-4472
Practice Fax:
1285284661 — MRS. LYNN RODGERS
Practice Location Address:
2010 AL LIPSCOMB WAY
DALLAS, TX
75215-2773
Practice Phone: 214-421-6705
Practice Fax: 214-421-0484
1063147221 — LUANA MARIA VAN DUNEM BARTOLOMEU DE FARIA
Practice Location Address:
2010 AL LIPSCOMB WAY
DALLAS, TX
75215-2773
Practice Phone: 786-523-1242
Practice Fax:
1154048106 — YOLANDA LOUISE CORNELIUS LCDC-I
Practice Location Address:
2010 AL LIPSCOMB WAY
DALLAS, TX
75215-2773
Practice Phone: 972-971-2142
Practice Fax:

Directions to “ JERRY EDWARD HOOVER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.